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Is A Rash On The Upper Hand Related To Infection In The Kidney ?

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Posted on Mon, 16 Mar 2015
Question: I was diagnosed with a Kidney Infection (urine tested positive for e-Coli) on or around 1/14/15 (never had one before), pain in back and stomach, was placed on 7 day Cipro. After starting antibiotics had two nights of extremely high fever (104). Felt a lot better after three days on antibiotics. 1/27/15 several hours after waking up was itching rash on my right arm, as the week progressed the rash has expanded to both my forearms, armpits, breasts, upper stomach and behind knees and back. Went to see a dermatologist on 2/4/15 who said it was Scabies. Treated me and my daughter (who to date has shown no signs of anything) for Scabies. I must mention that also on 1/27/15, I found a bat in my bedroom above my bed that appeared sickly and I pushed out the window. (third bat in living quarters in six week time, after second bat daughter and I underwent rabies Vaccinations which last dose was 12/31/15.)
The night of 2/5/15 noticed what appeared to be a animal bite mark on my left upper hand. (two pin size puncture wounds that had been the same size about one centimeter apart already scabbed over) Concerned it may have been an actual bat bite and the rash was some kind of reaction to it went to ER. Was told yes it appeared to be an animal bite (although they could not confirm what kind) and my rash was not Scabies rather looked like some sort of allergic reaction. Was given Predisone for five days.
2/18/2015: Rash is still evident however has dissipated a bit. Still concerned so call my GP, he refers me to a Infectious Disease Doctor. She says that it appears to be an allergic reaction as well and to return in two weeks.
I am 38 yrs old, 180lbs, 5' 3". Have a genetic Nephritis, and have since birth. have microscopic blood and small amount of protein in urine. Father has had full blown kidney disease with two transplants.
Was wondering if it was far-fetched to assume that this rash may have something to do with the Kidney Infection I had the beginning of January? and if I need to follow up with Nephrologist?
doctor
Answered by Dr. Chobufo Ditah (1 hour later)
Brief Answer:
No need for further follow up!

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

I am so sorry to hear about this rash and all the inconveniences this has caused you. I have reviewed your information fully and this is very suggestive of a possible allergy to ciprofloxacin. There is no need for further follow up at this time. I will also like that you make this known to your prescribing physician so that he would be cautious dealing with similar drugs in future.

I hope this addresses your concern fully. If you could also send a photo to me, I will be happy to review the rash and provide more information.

I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (21 minutes later)
Thank you for your response. I was just concerned being the rash appeared 7 days after finishing cipro and also that it has lasted over three weeks so far.
doctor
Answered by Dr. Chobufo Ditah (57 minutes later)
Brief Answer:
It is a delayed type of allergy!

Detailed Answer:
Hi,

Allergies are in different categories. Some are immediate and others are not. For sure, this could be more suggestive of a type IV allergy.

I hope this helps. Be calm and I hope all would return to normality as the rash is already giving way. Make sure you avoid taking this drug or other similar ones in future without a clear reason as to why.

I wish you well.
Note: For further follow up on related General & Family Physician 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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Is A Rash On The Upper Hand Related To Infection In The Kidney ?

Brief Answer: No need for further follow up! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this rash and all the inconveniences this has caused you. I have reviewed your information fully and this is very suggestive of a possible allergy to ciprofloxacin. There is no need for further follow up at this time. I will also like that you make this known to your prescribing physician so that he would be cautious dealing with similar drugs in future. I hope this addresses your concern fully. If you could also send a photo to me, I will be happy to review the rash and provide more information. I wish you well.