Q. What is secondary infection?

Answered by
Dr. Suvash Sahu
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 31, 2018 and last reviewed on: Oct 09, 2018

Hello doctor,

I have itchy red bumps on my thighs and labia and some of which have whiteheads.  I was not sure what it was. It seems to get worse when I am stressed and I am irritated with certain fabrics. Also, I have tested for herpes, but it came negative as it is too early to test. I am attaching my photo. Please explain me.

#

Hi,

Welcome to icliniq.com.

I have read your query and examined your picture (attachment removed to protect patient identity).

It seems that you are having molluscum contagiosum and a few of them are secondarily infected.

Molluscum contagiosum virus will cause multiple or single raised skin lesion.

The papules are umbilicated and contain a caseous plug.

This virus may sometimes get inoculated along the small skin injury, such as from shaving which is known as autoinoculation.

This virus gets transmitted through direct skin contact, through swimming pool or it could be transmitted sexually (STD).


Investigations to be done:

1. Skin biopsy.
2. HbsAg (hepatitis B surface antigen), anti-HCV (anti-hepatitis C virus) and HIV to rule out sexually transmitted disease.

Differential diagnosis:

1. Molluscum contagiosum
2. Folliculitis.

Probable diagnosis:

Molluscum contagiosum with secondary infection.

Treatment plan:

1. Generally, it is self-limited and heals spontaneously after several months. Curettage or enucleation is a more effective treatment.
2. I suggest you to take tablet Azithromycin 500 mg once daily for three days and topical Mupirocin ointment local application twice daily for five days. Consult your specialist doctor, discuss with him or her and take the medicine with their consent.

Regarding follow up:

For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Thank you doctor,

What is secondary infection? Please explain me.

#

Hi,

Welcome back to icliniq.com.

  • Secondary infection means if you have one kind of lesion that gets traumatized by scratching.
  • It leads to infection in our body commensalism or by certain bacteria like staphylococcus aureus or other bacteria leading to pus formation in a few traumatized lesions.

For further informatoin consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Thank you doctor,

How contagious is it and will it spread to the rest of my body? Can it be cured with antibiotics? Please explain.

#

Hi,

Welcome back to icliniq.com.

Since it is a viral illness, there is no role of antibiotics.

Antibiotics act against bacteria and not on a virus. In your case, as you have few secondary infected lesions, you will require antibiotics.

Since molluscum is caused by a virus that can be passed on by skin contact or from contaminated towels, flannels and soft toys.

It is not serious and usually clears within 12-18 months without any treatment.

You should not touch the lesions till you get cured to prevent further transmission to other areas of the body.

For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Thank you doctor,

Does it mean no sexual contact with anyone for a year?

#

Hi,

Welcome back to icliniq.com.

Yes, avoid sex for at least two to three months till your lesions get completely cured. Otherwise, your partner will also develop these kind of eruptions.

For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist


Was this answer helpful?

 | 

Related Questions:
I have some eruptions on the skin of my pubic area. What could they be?

.. be molluscum contagiosum or folliculitis. A skin biopsy would help to diagnose. Do you have a history of unprotected sexual exposure? Do not touch or prick it. It can lead to a secondary infection. Revert with more information to a dermatologis...   Read full

Shall I use Surfaz-SN to remove the acne on my penis?

.. read your concern. With your description, it seems that you have developed molluscum contagiosum. Please get a review with a picture for better evaluation and the best possible treatment of your concern. Revert with photos to a dermatologis...   Read full

I am getting a cold sore in the same spot on my cheek. What treatment do you suggest?

From your history and clinical images (attachment removed to protect patient identity), the diagnosis would be more in favor of a furuncle (Staph infection) or acne with secondary Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


What may be the reason for pain on the back side of roof of the mouth?

Query: Hi doctor, I have very bad pain on the back left roof of my mouth. My left top and bottom teeth, jaw and the left side of my tongue is really sore. I felt that there is a hard lump, which feels like a bone and it is excruciating to touch it. It hurts to swallow, yawn and makes my ear pop. The bump i...  Read Full »

What could these skin tag like bumps be due to?

Query: Hello doctor, My 6 year old daughter has two skin tag like bumps on her skin near the underwear line. She has had them for several months now and not getting bigger in size. It has been of the same size since it appeared. She does not have any pain or itching. She does not complain about them. But,...  Read Full »

What does stress have to do with Crohn's disease?

Query: Hello doctor, I have Crohn's disease. Two years back, I was fine. I had gone through extreme stress early that year and after that, I had a flare-up. I lost 9 kg in a month. Then, the doctors detected ulcers in my ileum I was diagnosed with Crohn's. I was out of work for 14 months. Assuming that it...  Read Full »

Also Read


Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»
I am suffering from dry and scaly scalp. Is that scalp psoriasis?
Hello doctor, I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I h...  Read more»
Birth Control Methods - Facts, and Types
Devices or treatments done to prevent unwanted pregnancy are called birth control methods.In this article, I am going to...  Read more»

Ask your health query to a doctor online?

Ask a Dermatologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.