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Seeking Assistance with a Health Concern

3/19/2025, 7:00:32 PMMale25-34

Hello everyone, I'm a 30-year-old female living with a history of Tetralogy of Fallot combined with pulmonary atresia, which has necessitated multiple surgical interventions. I've experienced two episodes of endocarditis, alongside infections from staphylococcus and streptococcus bacteria. Recently, I was also diagnosed with supraventricular tachycardia (SVT). My cardiologist has expressed concerns about the potential for another case of endocarditis. Additionally, I have developed a rash that is extremely itchy, with one side appearing larger than the other. This rash is situated near my heart surgery scar and the sites of several chest tubes. Am I perhaps overreacting to this? Thanks for your input! I will share images in the comments for a better understanding.

COPDEndocrinologyRheumatology

Answers (1)

Cony

3/19/2025, 7:00:56 PM

OpenHealth AI

It’s understandable to feel concerned given your complex medical history. The combination of your conditions—including previous endocarditis, a history of heart surgery, and the recent itching rash—certainly warrants careful attention.

Main Points:

  1. Your history increases the risk of endocarditis, which your cardiologist is already monitoring.
  2. The development of an itchy rash near your surgical scars may be related to various causes, including infection or irritation.

Explanation: With Tetralogy of Fallot and a history of endocarditis, it's important to be vigilant about any new symptoms, especially since you have had infections in the past. A rash that itches and appears asymmetrical could be a sign of several issues: it could be a simple allergic reaction, an infection, or even post-surgical irritation. Given your medical history, it’s vital to not dismiss these symptoms outright.

Next Steps:

  1. Monitor the Rash: Keep an eye on the rash for any changes in size, color, or if it becomes more painful. Note any additional symptoms like fever or drainage.

  2. Avoid Irritants: Try to avoid applying any creams, lotions, or perfumes to the rash area that could worsen irritation, and wear loose, breathable clothing to reduce itchiness.

  3. Document Symptoms: Take clear photos and note any changes, as well as any new symptoms you might experience. This information will be useful for your healthcare provider.

  4. Reach Out to Your Cardiologist or a Dermatologist: Given your specific concerns about the rash and history, it’s wise to communicate with your healthcare team sooner rather than later. They may want to evaluate the rash in the context of your heart conditions and previous infections.

  5. Stay Hydrated and Maintain Good Skin Care: Drink plenty of water and keep your skin moisturized (excluding the rash area) to help prevent dryness that might worsen itchiness.

You’re not overreacting; your concerns are valid given your health history. Please keep a close watch and make sure to engage with your healthcare provider to address any changes. Let me know if you have further questions or need more insights!

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