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Suggest Remedy For Headaches And Rash On The Temple

Posted on Mon, 22 Jun 2015

Question: I have left temple that is pumping hard a major headache that feels like someone is poking me in my left eye also devolped a rash on left side of head and under the hairline I've got 6 or 7 boils I've been on antibiotics for an infection in my foot can you help please

Answered by Dr. Neeraj Kumar (2 hours later)

Brief Answer:
possibility of herpes zoster infection

Detailed Answer:
Hello XXXXXXX milligan
According to your narration it seems that you have herpes zoster infection of trigeminal nerve distribution. Such infection is a reaction of virus in immunocompromised state. Are you diabetic or taking some steroid. Do you have any other diseases.
Herpes zoster is characterized by severe burning pain with water like filled lesions in a nerve distribution and are unilateral. It may also involve eyes.
You need to consult a dermatologist or neurologist for proper evaluation and treatment.
You can attach photos so that I can confidently tell you the diagnosis.
For treatment in herpes zoster infection we prefer to give local acyclovir ointment and tablet acyclovir 800 mg five times a day for 10 to 14 days or valacyclovir 1gm three times a day for 10 days. The treatment should be started within 72 hours.
Are you having hearing loss, facial deviation or lesions on ear.
Do get back to me for further queries.
Hope you recover early.
Wishing you good health.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Neeraj Kumar (20 hours later)

Hi Dr XXXXXXX

Please see attached Photo. I'm not diabetic and not on steroids and in good health to my knowledge. Please advise on outcome of the photo.

BGRDS
XXXX

Answered by Dr. Neeraj Kumar (3 hours later)

Brief Answer:
Lesions are infected and will heal on antibiotics

Detailed Answer:
Hello XXXXXXX milligian
I have viewed your image. It is definitely having pus in the boils and is infected requiring antibiotics topical as well as oral.
But sometimes herpetic lesions also develop secondary infection. So to diagnose herpetic lesions in later stage distribution of lesions is important.
If you feel free then send a profile and front image showing face and temple region in full.
For the time being continue antibiotics, apply local antibiotics and take pain killers.
Any episode of vomiting, blurring of vision, neck stiffness may be a serious symptoms and need reevaluation by doctor. Be vigilant.
Hope you recover early.
Wishing you good health. Regards
Regards
Dr Neeraj Kumar
Neurologist

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Above answer was peer-reviewed by : Dr. Yogesh D