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Painful red bump on back. RECLUSE SPIDER BITE?

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I just woke up with a small red bump on the back of my right thigh two days ago, and it has since gotten bigger and more painful. It is not itchy, but it is painful to the touch. Did something bite me during the night? Brown recluse spider maybe? I uploaded a photo of what it looks like as of 10 minutes ago. I tried Cortizone cream, Neosporin, and neither works very well, if at all. Should I go see a doctor?

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 26 Doctors Online

Thank you for your query at

I have the skin lesion and it looks like folliculitis (infection of the hair follicle). It tends to be painful but will eventually heal with the right treatment.

It is unlikely to be an insect bite, definitely not from a brown recluse spider. So do not worry about it.

Neosporin cream would have been the correct treatment. The reason why it may seem ineffective is because you have also used the cortisone cream counters it effect by boosting the infection, as it is a steroid.

I would suggest that you use the Neosporin cream alone, four times daily. Do this for a day and if there is an improvement, please continue the same till it heals completely. If not, you would require prescription strength antibiotic cream like Mupirocin cream.

If the pain is unbearable, you can take an OTC Ibuprofen 400 mg SOS.

I hope this was helpful. Feel free to ask queries.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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