Dr. Ashwini. V. Swamy
Venereology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have got this skin infection on my right-hand wrist, and I have attached the picture. This has happened five to six times. Last time it happened due to tying thread in hand. This time, I do not know. Last time, the doctor said to have Clavam 625 after Mometasone plus Sertaconazole cream did not help. This time I have taken seven tablets of Clavam, but this is also not helping. It is slightly itching. Please let me know why this skin infection keeps happening to me?
Hi,
Welcome to icliniq.com.
I saw your clinical pictures (attachment removed to protect patient identity). I amlisting the possibilities in the order of highest probability:
I would like to know:
Are you getting this lesion at the same site every time? How does it start? Did it start with blisters and then get filled with pus? Is it painful? Is there a complete resolution of the lesion when you use medicine? Did you have any trauma or injuries at that site like thorn prick or injury with wooden objects? Any contact with nickel metal in that sacred thread? Do you have similar lesions anywhere else in the body?
Patient's Query
Thank you doctor,
I am getting the lesion in the same area. It starts with the blister and then fills with pus, but it is not painful. Last time, Clavam helped to get cured. I did not get any thorn pick, and there is no injury with wooden objects. I just wore an old jacket which was not dry cleaned this year, and I am not sure if this has caused it. There are no similar lesions found anywhere else in the body.
Hello,
Welcome back to icliniq.com.
Thank you for answering my questions. I am narrowing down my diagnosis to recurrent herpes simplex by HSV 1 with a secondary bacterial infection. Herpes simplex is a viral infection, caused by HSV 1. It commonly presents with blisters in groups around the mouth, hands (above waist infection) involving the same site each time. It is precipitated by stress, which could be emotional stress or physical stress like illness or injury. Initial episode will be painful, subsequent episodes will be mild. The pus-filled lesions on your hand are due to secondary bacterial infection.
Stop using Mometasone combination cream. Mometasone is a steroid. It will aggravate the infection further. Apply T-bact cream (Mupirocin) antibiotic. Use two times a day. Before applying this cream, clean the area with a clean cotton cloth dipped in warm salt water. Take tablet Valacyclovir 1 mg, two tablets two times a day (12 hours apart). You will be taking a total of four tablets in a day. Treatment is for only one day. Take tablet after food. Consult your specialist doctor, discuss with him/her and take the medicines with their consent.
Since how many days are you using Mometasone cream? Do you have any allergy to oral medicine?
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Venereology
Related Questions
Ayurvedic medication for multidrug/antibiotic resistant bacterial infections.
COVID Toes and Other Puzzling Symptoms of COVID-19
Chickenpox: Causes, Symptoms, Treatment, Diagnosis, and Vaccine
HSV 1 and 2 are positive. But, my doctor says no treatment is required. Why?
I get recurrent cold sores which are not healing completely. Why?
How do I confirm that I have got a viral or bacterial infection?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare 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. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
