Hello doctor, I have a skin ulcer that appeared about a week ago in the pubic area. The initial lesion is now surrounded by four liquid filled bumps that look like they also will become ulcers. A small itchy bump developed into an ulcer in 10 days. Three days between photos at a different stage of the ulcer. Now itches and oozes.I have never had a skin issue like this. My girlfriend thinks it was because my swimsuit was not cleaned for days. We live in a hot, and humid climate overseas. Please recommend medicine.
Hello. 1. Looking at the images (attachment removed to protect patient identity), I could think of two differentials for it and they are pyoderma, a superficial bacterial infection, or herpes genitalis, a disease spread via sexual contact and presents with grouped blisters with pain. 2. Right now treatment for pyoderma is all that you require as even if it is herpes anti-herpetic medications are not needed after 72 hours. So clean the area with normal soap and water and apply following cream twice a day and take these medications for five days. Kindly consult your doctor and take the treatment with consent. 1. Tablet Cefadroxil 500 mg twice a day. 2. Tablet Fexofenadine 180 mg once a day. 3. Cream Mometasone plus Fusidic acid twice a day. Get following investigations done if possible, HSV 1 and 2, IgG, and IgM serology.