Itching, Swelling, Fever?
Hello,. My father had an itchy sore at one point on the shin of his left leg which was swollen, reddened so that it was difficult to walk. Because his leg muscles hurt when he made his steps. Every night too often shivering. He was treated and given lameson, cefadroxil and homoclomin. But now when he was taken with these drugs, he became resistant. As if there was no effect. Why is that? If you want to see a doctor, what specialist should you take it to? Is SPKK? Thank you,.
Thank you for asking HealthReplies.com.
Sores that itch, then swell, turn red, making it difficult to walk, most likely indicate an infection. This infection may initially be mild and localized. However, if you don't get prompt, adequate treatment, coupled with a poor immune system, this infection can spread to other areas around it, and cause cellulitis (infection of the soft tissue under the skin). This inflammation due to cellulitis is what makes your father often feel chills. Epidemiologically, cellulitis occurs most often in the lower limbs, although it does not rule out that it also occurs in other areas of the body. The cause is the entry of bacteria (especially Streptococcus and Staphylococcus) into the skin, usually through insect bites or open wounds that appear consciously or not.
With proper treatment, cellulitis can be cured. However, if not, then the sufferer can fall into dangerous complications, namely the result of spreading the infection to the blood or other distant areas of the body.
Therefore, in order to prevent the possibility of these complications, you should check your father again with a skin specialist or a surgeon. That way, the doctor can also evaluate the possibility of other diseases that can trigger your father's complaint, for example rheumatoid arthritis, cancer, deep vein thrombosis, and so on. If it is true that the complaint arises due to cellulitis, then to prevent resistance, the doctor can carry out a culture examination using a blood sample or inflamed lower leg tissue to determine appropriate treatment according to the sensitivity of the microorganism causing the infection.
At this time, you should first do the following steps to help relieve your father's condition:
Clean the swollen feet regularly, namely by washing them with intravenous fluids (NaCl) 2 times a day. If there is an open wound, also clean it with an antiseptic solution (povidone iodine) while gently pressing it so that the pus comes out. Avoid giving any medication without a doctor's advice.
Remind your father to always keep himself clean
Fulfill their nutritional needs by feeding them healthy and nutritious foods (especially those rich in protein)
Give him enough to drink too
If your father is in severe pain and shivering, you can give him paracetamol to make him feel more comfortable
Hope this helps ..
dr. Nadia Nurotul Fuadah