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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Rash With Puss On Chest, Lower Abdominal Pain. Had High Risk Encounters (gay)

I have had high risk encounters (gay) and have a rash with puss all over my chest does not itch but have had it
for about two weeks now. Also have this pain in my lower abdomin on the right side and left side, it moves from side to side. The pain seems to be worse in the early morning and at bed time. I'm married and worried as hell. I do not have sex with the wife but worried that I could pass something on to her or some one else. Help!
Thu, 7 Nov 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
I would come up with these possibilities for this type of purulent discharge from the chest, these includes.
1 Gonorrhea , diagnosis can be confirmed by gram stain & culture from purulent discharge.
2 Syphilis tertiary stage, as you didn't mention the exact history so very difficult to say some thing . Diagnosis can be confirmed by treponamal test.
3 Side by side pain in lower abdomen and more in the morning and evening is also due to s t d , as genitals may have involved.Diagnosis can be confirmed by V D R L test .
4 May be pemphigus , diagnosis can be confirmed by C B C and physical examination by a physician.
In my opinion get in blood for V D R L , c b c & esr and deal accordingly.
Good luck. Dr. HET
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Have Rash With Puss On Chest, Lower Abdominal Pain. Had High Risk Encounters (gay)

Hello, Thanks for the query to H.C.M. Forum. I would come up with these possibilities for this type of purulent discharge from the chest, these includes. 1 Gonorrhea , diagnosis can be confirmed by gram stain & culture from purulent discharge. 2 Syphilis tertiary stage, as you didn t mention the exact history so very difficult to say some thing . Diagnosis can be confirmed by treponamal test. 3 Side by side pain in lower abdomen and more in the morning and evening is also due to s t d , as genitals may have involved.Diagnosis can be confirmed by V D R L test . 4 May be pemphigus , diagnosis can be confirmed by C B C and physical examination by a physician. In my opinion get in blood for V D R L , c b c & esr and deal accordingly. Good luck. Dr. HET