r/DermatologyQuestions • u/Unpopular_Dialogue • 18h ago
legs/feet What infection could this be?
Just to be clear the individual pictured is not me but a friend whom I am trying to convince to get to a hospital before he loses one or more of his legs.
I have a friend who is going through an emotionally charged period right now after a dramatic relationship breakdown; that involves the police and the courts. I will not go into the details of his relationship breakdown because I don't know all the details and it is not my story to tell.
The end result has been him being in a deeply emotionally damaged state. He is not taking care of himself properly, he takes a shower or a bath maybe once in a few weeks, and he is filthy. He does not eat properly and needs to be checked on every few days to ensure he is eating something substantial. His room is filthy with trash everywhere; where I clean it up for him 1 to 2 times a week when I visit but it is covered in trash every time. I don't understand how a man can live like that or how it is possible for a room to get that filthy in only 2 or 3 days.
So onto the medical parts of the state of things. The man has developed some kind of infection in both of his legs that have caused swelling and the discharge of fluids through open tears in his skin; where 1 time I saw yellow-green discharge dripping down his legs. This is a cyclical infection where his legs swell with cyst like structures developing that will burst causing exceptionally painful discharges of puss and blood and then the swelling subsides, and the pain stops. The cycles appear to be 2 to 3 weeks long where on some weeks he will be perfectly fine with mobility and other times he will be in debilitating pain reducing mobility to next to nothing; where he is unable to walk more than 5 or so metres at a time. This has been going on for about 3 months now.
I and other friends have tried to convince his to go to the emergency department but he refuses. I had asked 2 mutual friends who are lawyers about having him involuntarily committed to a hospital for physical and mental health treatment but under our local laws that is a no go unless he is violent, or has lost consciousness. So unless he attacks someone and the police get involved or just passes out becoming incapable of making medical choice and we can get him on an ambulance he is in control of his own medical choices.
About where he might have got the infection I am guessing that he got one or more small cuts in his legs and contracted something from the filthy environment that is his room which spread all over his legs. My deeper concern is that it is a bacterial/viral/fungal infection all over his body that has thus far only visibly manifested in his legs. I pray that this is only a dermatological issue.
I would like to try to identify what infection he has and try to talk/scare him into going to see a doctor. In our country we have free healthcare so cost is not the problem. I just have to convince him to sit in my car for 5 mins or so to get to the nearest hospital.
Thanks for the help.