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Does E. Coli Cause Lymphadenitis?

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Posted on Fri, 4 Dec 2015
Question: can a case of e coli (shigatoxin) cause lymphadenitis. I was sick several months ago and was diagnosed with shigatoxin. Shortly there after I have observed a swollen area on my inner thigh, about the size of a quarter. I am currently in Baghdad and am afraid the local medical provider will just send me home for further testing. I don't wan to panic and loose my job if I don't need to.
doctor
Answered by Dr. Chobufo Ditah (2 hours later)
Brief Answer:
Is it painful? Can you provide an image for this?

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this swollen area that you have reported. I will like to know if these are swollen lymph nodes or a swollen area on the skin. Also, are they painful? Swollen lymph nodes related to an infection are painful from onset while those related to cancer are hard and are not painful. I will also like to review an image of this swollen area.

When I get these details and possibly the image as well, I will be able to provide a more informed advice on how to approach this and whether there is immediate need for further investigations and management or not. With the previous notion of cancer of the colon, I must be double cautious before making ay conclusions.

I hope to hear back from you at your earliest convenience and promise to respond promptly. Until then, be calm and confident that I will walk you through this.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (2 hours later)
It hasn't been painful unless I massage the area and then it becomes sore. In the photos it looks like the area around the node appears swollen. It's hard to tell it's difficult so self examine this area. It just seems like it was there all of a sudden. In addition I have noticed when I shower I have a stinging pain on the back of my knee. Like a cut, but I can't find anything. I know this sounds terribly odd and I don't know if its even related. Just thought I would mention it. I didn't know if this was common considering where I am and the less than ideal living standards. I have attached 4 photos if you need any additional views, etc, let me know.

Thanks for your help
doctor
Answered by Dr. Chobufo Ditah (27 hours later)
Brief Answer:
I will say monitor only at this time!

Detailed Answer:
HI and thanks for the images.

I have reviewed them and this is hard to see or say that the area is swollen. I will rather suggest you go on and monitor only. There is really nothing alarming for now and swollen nodes are hardly this visible to the naked eyes without actually feeling.

Stop massaging the area as this can lead to pain/soreness and may even cause the lymph nodes to become swollen trying to contain this. If any new symptoms develop, only then should you seek for further help.

I hope this helps. I wish you well. Feel free to ask for more information and clarifications if need be.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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Does E. Coli Cause Lymphadenitis?

Brief Answer: Is it painful? Can you provide an image for this? Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this swollen area that you have reported. I will like to know if these are swollen lymph nodes or a swollen area on the skin. Also, are they painful? Swollen lymph nodes related to an infection are painful from onset while those related to cancer are hard and are not painful. I will also like to review an image of this swollen area. When I get these details and possibly the image as well, I will be able to provide a more informed advice on how to approach this and whether there is immediate need for further investigations and management or not. With the previous notion of cancer of the colon, I must be double cautious before making ay conclusions. I hope to hear back from you at your earliest convenience and promise to respond promptly. Until then, be calm and confident that I will walk you through this.