What causes swelling and inflammation below the knee despite no blood clots being present?
This sounds like a very interesting and difficult case indeed, since the most probable causes have been ruled out.
It is even more puzzling since all blood work haven't shown anything.
It could be a dermatological problem and a skin biopsy comes to mind and the next step, in case the deep tissue US doesn't give an answer.
However, I would need to see a picture to get a better idea of what I should be looking for.
As for your trip, avoiding long immobilization of the leg would be a good start. Try to move about as much as and whenever possible.
Hope I have answered your query. Let me know if I can assist you further.
Thank you for sending the images. I have reviewed them carefully and in my opinion it Cellulitis.
The rash and the swelling is typical. In my opinion, the reason Clindamycin didn't work is that it was not the right antibiotic.
I recommend you do an antibiotic sensitivity test and go for an initial intravenous dose. This should bring relief within the first 24 hours.
Hope I have answered your query.
Dr Ornela Ademovi, General & Family Physician
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