Can blisters on the neck and buttocks indicate Chlamydia?

Hi doctor,

I am a 39-year-old male. I had a body-to-body massage with a girl three years ago and I had a chlamydia infection. I had some blisters near my bladder, and I took antibiotics Azithromycin 1 g, Cefixime 400 mg, and Doxycycline 100 mg twice a day for 14 days. I took these medicines under the guidance of the doctor and treated them. Two years ago, I had sex with a girl.

After a week, I took the same course of antibiotics just as a precautionary measure. After a few months, I noticed some blisters on my right buttocks, and it pained a lot while sitting. I also noticed some boils on the right side of my neck. I have not taken any treatment for this till now.

Once, I tried to apply turmeric cream over it, and it resulted in severe itching. Though it stopped after a few days, I had some itching on the side of my right hip. I also noticed some skin burn on the right arm recently. Still, I have blisters on my right buttocks, and I did not have any pus. There are boils still on my right neck. I am attaching the pictures. Recently, I took Doxycycline 100 mg twice daily for 14 days. I do not have pain while urinating or pain in the bladder or penis, and there is no other discharge. I did HIV and STD tests. All the results came back negative except for chlamydia.

Does it indicate a past infection? Can I have chlamydia trachomatis? Do I need to get a chlamydia real-time PCR to rule out the active infection? Please explain the reason for having boils or blisters and what causes them.

Thank you.

Hi doctor,

Thank you for the reply.

I have boils in the neck region. Can I have it due to molluscum contagiosum? Earlier, I had it on my buttocks and after using a herbal soap, they got completely disappeared. Can it have spread to the neck? Can I have a skin problem due to the wrist band as I was wearing it near the elbow?

I also have itching in some body parts. Could it indicate any disease? For chlamydia, does PCR test is reliable to rule out the current infection?

Hi doctor,

I am a 41-year-old male. When I went to the another country, I visited a strip club and had a private lap dance with a girl. She made me lick her breasts several times for extra money, and I noticed a weird taste while doing that. These strip club dancers move their hands all over their bodies, from private parts to breasts during the lap dance, which made me feel that I might have come into contact with her vaginal fluid.

I noticed some rashes on my face, near my eyes and on the right side of my lips. The rashes persisted for months, although their severity reduced after I tried applying tea tree oil. I also started having redness in my eyes, alternating between the left and right eyes, although all eye tests ruled out any eye disease. In July 2023, I took Azee 2g once, cefixime 800 mg once, and doxycycline 100 mg for 14 days to treat any STDs I might have contracted from her.

I started having diarrhea. I took loperamide and Ofloz-Oz for 5 days, which briefly stopped the diarrhea in October before it resumed again after two months. I had to make adjustments to my diet, avoiding spicy foods, and I took some Ayurvedic medicines to manage loose stools.

I started my investigations in last year and everything was normal, including CBC, HIV, STD tests, CT scans of the whole abdomen, ultrasounds, and calprotectin tests. However, I continued to have abdominal cramps and pain at times after eating.

I contracted a COVID infection and had a high fever (up to 104 degrees Fahrenheit) and constipation for four days. On the fifth day, I struggled to pass hard stools and ended up passing stools with blood after taking a laxative. I had a colonoscopy in the first week of May, which showed ulcers and erythema in the rectum/sigmoid area of the colon, but the biopsy ruled out IBD, TB, and cancer, although it mentioned some presence of WBC cells. I took Oflox TZ for seven days, Nitazoxanide 500 mg for six days, and a mesacol enema for five weeks as per my doctor’s advice. In the following weeks, when I checked my blood count, the eosinophils and basophils were marginally higher once, but they are currently normal.

I have lost 13.23 pounds of weight after the COVID infection, constipation, and bleeding episode, and I have not been able to regain it. I continue to have rashes on my face and redness in my eyes (which appears and persists for a few days before going away). I also noticed some lymph nodes on the side of my neck. Should I go for a biopsy to diagnose that?

I continue to experience abdominal cramps and pain after eating, along with occasional constipation and loose stools if I eat spicy food. I took a GI panel test, and Enteroaggregative Escherichia coli (EAEC) came back positive. Could that have caused all my intestinal issues? What antibiotic would be effective for that?

Please review my attached blood, stool, and colonoscopy test reports. Do I have some systemic infection or IBD (though the biopsy ruled it out)? Could I have an unknown viral infection like Adenovirus, Parvovirus, or Coxsackievirus?

I am planning to go for a sigmoidoscopy. What bacteria or viruses should they check for in the biopsy? Is it only TB, or should they also check for STDs like syphilis, E. coli, or something else? I have been very frustrated with this health issue as it is undiagnosable. Please advise. I appreciate your help.

Hi doctor,

Thank you for the reply.

HIV was negative after 90 days of exposure. What about the rashes on my face? (Please see the attached document for images or reports.) Are they merely a skin infection, or could they reflect some systemic infection? If it's indeed a systemic infection, what could it be? Could you please go through the attached reports and share your opinion?