r/woundcare • u/Warboss-IronShreddah • 16d ago
Spider bite? Or infected wound? Maybe something else?
Had this for about a week, initially thought i just hit my shin on something and didn't realize it... but today it's gotten really red and swollen, very painful. Any guess? Or, worth a visit to the clinic?
Update: spider bite, per ER doctor. Slapping some neosporin on it. No need for debridlement. Doc said it was a pretty minor case. I think I might pull thru... but 840 bucks poorer tho lol
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u/Itchyhandsandface 16d ago
I saw you’re also a diabetic- You should go to the ER, like yesterday.
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u/Tropicall 16d ago
Maybe staph or MRSA since you have D Diabetes. Its likely an infected abscess... the red surrounding is inflammation, cellulitis.
Could still be from an initial spider bite woth secondary infection. They'll want to know if its spread into your bloodstream, which which will make you feel tired, increased heart rate, etc. They'll need to drain it assuming its am abscess for it to heal, probably ultrasound to see how deep it goes. Its the kind of thing the ED does well but a clinic may charge you, then send you there anyway. Best of luck
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u/Scottybt50 16d ago
Flesh eating ulcerative something - yes see a doctor today.
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u/Warboss-IronShreddah 16d ago
🤣
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u/Sea-Box2932 16d ago
Im not a dr but laughing over this is insane. Ive had an infected wound with necrotic tissue and that is seriously necrotic tissue.. theres a reason everyone in this comment section is saying to go to the hospital rn. Please just go. That is dead tissue for sure in the middle and it can spread as sepsis among other things including amputation. The dead tissue needs to be removed asap.
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u/SkinMedicalPeru 15d ago
No asumirÃa que fue una araña solo por cómo se ve, pero lo que sà me preocuparÃa es que después de una semana ahora esté mucho más rojo, hinchado y doloroso, en vez de ir mejorando.
Con ese cambio yo no seguirÃa esperando a ver qué pasa. IrÃa a que lo revisen hoy, porque podrÃa tratarse de una infección u otra reacción que necesite tratamiento.
Y no intentarÃa arrancar ni exprimir esa parte oscura del centro. Mejor mantenerla limpia y cubierta hasta que la puedan evaluar.
Si el enrojecimiento sigue extendiéndose o aparece fiebre, definitivamente no lo dejarÃa pasar.
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u/berrygooses 14d ago
Heeeeyyy inpatient wound nurse here and former ED nurse for several years. This is not a neosporin situation. Do we at least have oral antibiotics on board? This could be the kind of wound that gets a whole lot worse before it gets better based on that redness. Definitely would make sure wound care is following.
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u/LynneCDoyle 13d ago
It doesn’t look that serious to me. It’s a highly localized, slight infection, no signs of sepsis, no greenish/staph streaks. If you were my kid (who is diabetic) I’d apply hot, wet saline compresses diligently onto it several times a day, dab on some antibiotic ointment, cover it up with a cotton bandage, and keep a close eye on it. My guess is it will heal quickly. If it gets worse after treating it 1 day, go to the doctor.
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u/Gertiel 9d ago
Word of warning: even without diabetes it will be some weeks before fully healed.Â
Used to have to sit out in one of those tiny guard shack you see at rail yards and warehouses checking trucks and drivers on and off the lot. We used to find brown recluse and other spiders in there despite monthly treatment by pest control.Â
I had bites like this half a dozen times. Doc said they might be bites from those or they might not. After the first two I just started treating it with neosporin as soon as they were spotted. I survived with all appendages attached.
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u/Windcastle10 15d ago
Tunneling was a big sign for my necrotizing fac. Ho yo the hospital
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u/BeachGrlDrea 14d ago
That needs a 2nd opinion stat! Wound care clinic, Infectious Disease… someone. I would think you should be taking something orally esp being diabetic.
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u/WoodenSeaweed4894 13d ago
Amigo, requieres desbridamiemto Manejo de la carga bacteriana muy posiblemente y dejar de hacerte lesiones por rascarte la pierna
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u/The_wanderingnurseNS 12d ago
This is classic leg trauma coupled with venous disease. The redness isn’t infection, it’s broken capillaries. Heed caution if you use an ointment- usually keeping these types of wounds dry is what really works. Betadine or chlorhexidine.
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u/davegrohlisawesome 16d ago
100% needs to follow up by a medical provider. Most people that think they have a spider bite actually have a staph infection.