What is the diagnosis and appropriate management for a 33-year-old female presenting with a possible abscess on her right upper back, with a history of chronic tonsillitis, tonsil stones, and recent treatment with ciprofloxacin (ciprofloxacin) and Augmentin (amoxicillin-clavulanate) for moderate Serratia and methicillin-susceptible Staphylococcus aureus infections?

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Differential Diagnosis for 33-year-old Female with Possible Abscess on Right Upper Back

  • Single most likely diagnosis:
    • Folliculitis or Furuncle: Given the description of a small pimple-like lesion on the right upper back, which is unable to be incised and drained (I&D), folliculitis or a furuncle (boil) are the most likely diagnoses. The patient's history of recurrent infections, including tonsillitis and the presence of an abscess under her left axilla, suggests a propensity for skin and soft tissue infections.
  • Other Likely diagnoses:
    • Cellulitis: The patient's symptoms of feeling ill, chills, and the presence of a skin lesion could also suggest cellulitis, an infection of the skin and subcutaneous tissues.
    • Abscess: Although the lesion on the right upper back is described as a small pimple and unable to be I&D, it's still possible that it could be a small abscess, especially given the patient's history of abscess formation.
    • Staphylococcal or Serratia infection: Given the patient's previous culture results showing moderate Serratia and methicillin-susceptible Staphylococcus aureus, it's possible that the current lesion could be infected with one of these organisms.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.):
    • Endocarditis: Although less likely, given the patient's history of recurrent infections and potential for bacteremia, endocarditis is a diagnosis that should not be missed due to its high mortality rate if left untreated.
    • Osteomyelitis: If the infection has spread to the bone, osteomyelitis could be a possibility, especially if the patient has been experiencing systemic symptoms like chills and feeling ill.
    • Septicemia: The patient's history of recurrent infections and current symptoms of feeling ill and chills raise the concern for septicemia, which would require prompt diagnosis and treatment.
  • Rare diagnoses:
    • Hidradenitis Suppurativa: Although the patient has a history of an abscess under her left axilla, hidradenitis suppurativa is a less likely diagnosis given the lack of other characteristic symptoms like chronic skin lesions and scarring in the apocrine-gland-bearing areas of the body.
    • Actinomycosis: This is a rare bacterial infection that can cause abscesses and sinus tracts, but it is less likely given the patient's presentation and lack of other characteristic symptoms like a history of oral surgery or dental procedures.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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