My left armpit is sore with swollen left ankle and bruise in left groin. Please help.

Question

Hello doctor,

I have three medical concerns that I think might be related. One is that I have soreness in my left armpit, another is that my left ankle has been swollen lately, and finally I have a one in circle ark that looks like a faded bruise in my left groin. There is no swelling associated with this and no pain. The last one has been persistent for a few months (and the circle got darker when I went on Bactrim for a UTI but then got lighter again). Could these three things be related? Is there any cause for concern?

Answer 1

Hello,

Welcome to icliniq.com.

Since when have you been suffering from this condition?

It may be reactive arthritis (Reiter's syndrome), in which urethritis or a UTI (urinary tract infection) is followed by joint swelling and a rash. It may be associated with dry mouth and dry eyes. It may be a different entity, like a groin rash, which may be a fungal infection. Joint swelling may be due to arthritis, gout, or crystal-induced inflammation.

Left axillary pain may be due to herpes zoster, boils, shoulder joint arthritis, rotator cuff problems, or hypothyroidism. Until the examination is done, it is difficult to say what it is. Get it done: urine culture and sensitivity, CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), and x-ray of the left ankle joint. Use a tablet of Naproxen 250 mg twice a day for 5 days. Keep the limb in an elevated position while sleeping. Please review the reports or consult with your physician, who will examine and treat you accordingly.

I hope this helps.

Answer 2

Hello,

Welcome back to icliniq.com.

Groin bruising may be a side effect of bacterium (usually cause rash) or if it is itching then the possibility of fungal infection or allergy. In gonococcal urethritis or chlamydia, it may present like UTI and joint swelling and rash (reactive arthritis).

To control reactive arthritis you have to get it done culture sensitivity of urine and a vaginal swab. First control the infection then you may recover soon. You may use capsule Doxycycline 100 mg twice a day for one week (do not use if you are pregnant). Use Terbinaforce plus cream locally twice a day for five days. Send me a photograph of a rash.

So review with the above reports or consult with your physician.