Wow. : Wow. This one is a stumper! your doctor is doing the right thing by doing a biopsy of the lesion to help with the diagnosis. Apparently, he/she thought it was a staph infection and treated you with Bactrim (sulfamethoxazole and trimethoprim) which can cover community acquired staph infection. When that didn't work, a biopsy was done. It shouldn't take 2 weeks to get results. Typically, it takes about 7 days. But the biopsy may only show non-specific inflammatory findings and you may still not have a definitive diagnosis. The last patient i saw with scattered painful nodules they had a disseminated bacterial infection with gonorrhea. Endocarditis should be considered in the differential and is diagnosed with serial blood cultures. This would be particularly important to do if you get more lesions or if you have systemic symptoms like chills or fever. You are a very interesting patient and i hope an answer to your problem is found promptly.
Answered 10/3/2016
5.3k views
Very : Very difficult to tell without a clear, detailed clinical history and medical history. Other possibilities would include mycobacterium marinum, erysipeloid, folliculitis, vasculitis, endocarditis (emboli), vasculopathy, cryofibrinoginemia, or sporotrichosis/deep fungal infection. I agree with a biopsy and would recommend some blood work be considered in addition to a visit to see a dermatologist for careful examination. I hope this helps a little.
Answered 10/3/2016
5.3k views
Unfortunately, : Unfortunately, the photos you furnished don't offer much additional information. One possible cause for your symptoms is herpetic whitlow, which is an infection caused by the herpes simplex virus (hsv). This infection is usually acquired when your finger comes in contact with an area that's already infected by hsv -- either on your own body or someone else's body. Just like hsv infections in other body regions, herpetic whitlow usually clears up on its own -- eventually. However, the discomfort and duration of whitlow can be reduced by using any of the medications used to treat other hsv infections (i.e., acyclovir, famciclovir, or valacyclovir). Your biopsy will no doubt confirm the cause of your symptoms, but it might be worth asking your doctor if herpetic whitlow is a possibility. I hope you feel better soon!
Answered 10/4/2016
5.5k views
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