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Misdiagnosis of infected insect bite

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On 4 Aug 2018 at 7:30pm Robin clark wrote:
My partner Jenny was bitten by an insect on Wednesday lunchtime. Initially there was a small red spot. By Thursday this had become a red spot 2cm in diameter. It also had small red blotchy patches surrounding it. We drove there and when she came out from a consultation with a 'nurse's I was surprised to see they had merely drawn in spirit marker around it and told her it was not infected it was just a bruise. This turned out to be wrong. By today it had grown to 6 cm in diameter and she had a mild temperature. On seeing a proper medical professional tonight in brighton she was prescribed a large dose of anti biotics and told that if symptoms worsen (which she was told may include vomitting) to go directly to A&E. The minor injuries unit probably should have passed this case up to someone more competent and/or qualified.
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On 4 Aug 2018 at 7:38pm Mark wrote:
It's easy to be wise in hindsight.
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On 4 Aug 2018 at 7:42pm Robin wrote:
The minor injuries unit, well if they didn't know, they should have passed the case up to someone better qualified.
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On 4 Aug 2018 at 7:44pm Earl of Lewess wrote:
In fairness to the nurse, it's probably difficult to diagnose an infection before it has developed. Not all insect bites become infected and one of the greatest threats to public health is the overuse of antibiotics. If they drew a marker around the infected area, then they were following the correct procedure and ensuring that it would be easier to monitor any changes. Overall, the Minor Injuries Unit staff do a very good job, but no-one's infallible and you were right to see someone else.
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On 4 Aug 2018 at 7:47pm Robin wrote:
Well we only saw someone else when it grew to 6 cm. The minor injuries nurse told us it was NOT infected. Even though it was red, ring shaped age had grown to 2 cm diameter in 28 hours. It also had small red blotches outside the main red area. All signs of bacterial infection. Very very surprised they got this wrong.
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On 4 Aug 2018 at 7:52pm Robin wrote:
Earl of Lewes, one of the greatest threats from antibiotics is the abuse of antibiotics. People not finishing their courses. Taking them for three days instead of say seven makes an environment to breed antibiotic resistant bacteria. It's not over prescribing thats the problem ; its people who don't use them properly
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On 4 Aug 2018 at 8:46pm Was it a tick bite? wrote:
If so, might be Lyme disease. Often starts with a bullseye type rash. Worth getting checked for this if it was a tick. I'm not sure that it's so well known in this country, but is quite common and would need antibiotics. Have come across it in the States.
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On 4 Aug 2018 at 9:07pm Heard it all wrote:
You really should have known it was infected yourself. I find it grating that you moan about that hostpital. One of our most precious assets with great staff. Learn to look after yourself a bit and have some sense. One day soon there will no NHS to wipe your nose and the way things are going no insects to bite you. Then we really are.......
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On 4 Aug 2018 at 9:40pm James legal wrote:
Sounds like you have good grounds for a claim there Robin.
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On 4 Aug 2018 at 11:27pm Earl of Lewess wrote:
@James Legal - Don't be ridiculous. Unless Jenny has some life-changing condition as a result of a misdiagnosis, there's no reason to try and leech off the already strained NHS. If Robin is dissatisfied, he should lodge a complaint in writing and it will be investigated.
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On 5 Aug 2018 at 8:06am In grating, ingratiating wrote:
integrating ? or just grating...(on your nerves)....like this post
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On 5 Aug 2018 at 8:58am Patience wrote:
I was told I was having a panic attack.(I wasn't - I actually couldn't breathe for the pain) I was told I most likely had a chest infection, there are no doctors on site, but just to be on the safe side go to Haywards Heath in a taxi. I spent roughly 12 hours there while they examined the possibilities of it being various things including thrombosis before being sent off to Brighton in an ambulance where a surgeon saw me (after 12 hours on a trolley) and said straight off it was a ruptured liver cyst. I was then kept in for pain relief and observation. I went in on Saturday lunch came out Monday evening, there was no one at the hospital to even do a scan till Monday. I still know how lucky we are to have the NHS. Im not sure you can expect a nurse in an injuries clinic to be able to diagnose these things, even the doctor at Haywards Heath struggled to diagnose what was wrong with me. Best to go straight to Brighton or call an ambulance.
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On 5 Aug 2018 at 9:17am Leafif wrote:
It probably wasn’t infected on weds when you went. Weds to Sat is quite a long time for infection to develop. Don’t try and make out minor injuries had failed your wife. If you’d gone to A&E on weds they probably would have done the same thing. It’s not a misdiagnosis it just wasn’t infected then.
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On 5 Aug 2018 at 9:55am Chips wrote:
Op represents the swiveling self indulgent me first culture that is destroying this country. An infection from the richest to the poorest whole heartedly encouraged by tory voters and MPs.
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On 5 Aug 2018 at 10:03am MG wrote:
Are you sure it was an insect bite? From the description it sounds like Lyme disease, which is spread by tick bites. Whether a minor injuries nurse would be expecte to pick this up is doubtful, but a GP should. ANtibiotics should sort it out,
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On 5 Aug 2018 at 10:45am Sensible wrote:
More proof that the NHS should have been strangled at birth. My family never uses it, and never had a need for it before its creation, nor did my grandfather ever see any requirement. Private health care is responsible for better patient outcomes and higher-grade research. The market decides the best way. History is never kind to socialism!
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On 5 Aug 2018 at 10:46am From CLOWSIE wrote:
Sounds to me that the nurse drew the circle around the bite and told you and your wife to keep an eye on it and if the redness went past the line to seek further medical help which you did so I can't see what the nurse did wrong?
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On 5 Aug 2018 at 10:50am Just Bob wrote:
It could have been a horsefly bite.

Check it out here »
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On 5 Aug 2018 at 12:30pm Curious wrote:
Why did you post this on here.
I am a Nurse working in the NHS.
There are a variety of ways you can comment on services and of course there are offical complaints procedures.
Different health professionals sometimes have different clinical opinions and shocking as this may seem sometimes they may/will not get it right.
Generally people on the NHS front line do their best but they're human..
 
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On 6 Aug 2018 at 9:50am Robin wrote:
Leafif: It must have been infected when is was inspected as Flucloxacillin was prescribed which is an anti-biotic designed to treat bacterial infections in the skin. There were no other cuts near the bite and it was not scratched.
Bob: Yes very probably.
Chips: Not really. My point was if they should not give incorrect advice if they are not qualified to diagnose.
Curious: I understand they are human but the facts were a clear description including time line of the advancement was given and they were red blotches outside the main ring. Also a mild temperature in the patient. The Doctor on call back from 111 recognized the symptoms from the description very quickly from the description alone.
CLOWSIE: Why did she tell her it was NOT infected then?
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On 6 Aug 2018 at 10:28am Leafif wrote:
If the infection had been present since Wednesday welder you went in to minor injuries, by Saturday when you went to A&E it would have been a serious infection with a high temp and IV antibiotics. If you don’t believe me ask a Dr.
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On 6 Aug 2018 at 3:14pm Malling Woman wrote:
I think we are so incredibly lucky to have the Minor Injuries Department at Lewes.
It sounds as though they gave you the right advice and couldn’t call whether it would become infected or not.
I’m sorry your partner is unwell and hope she feels better soon.
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On 8 Aug 2018 at 8:52am Spit or Swallow wrote:
Robin you’ve answered your own question
It’s a MINOR INJURIES UNIT!!!
They’re there for cuts, twisted ankles ets. They ain’t doctors!!!


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