instruction: hi doctor after shaving my face six days ago I saw a big red bump on the right side of my nose above the mustache at first I thought it might be a pimple last week I felt something wrong on my throat and visited a doctor said lymph node inflammation and prescribed me penicillin doctor did not ask me anything about that red bump in my mustache area at that time I have been suffering from mild fever as well after my lymph inflammation right now I am worried again since the red bump on my mustache becomes large and from two or three openings drains watery liquid when I tried to squeeze it is really painful and irritates a lot I am worried about hav since it is near my mouth I am having mild fever and lymph infection I am not in sexual contact for the last seven years what is your suggestion what might cause this problem
output: hello welcome to icliniq com two broad differential diagnoses are folliculitis or hav herpes simplex virus infection most likely I would want you to know that we all are exposed to hav and it could spread without sexual contact it stays in the ganglion nerve endings and pops up when your immunity goes down it is also known as fever blister my feeling is that since you were about to come down with the sore throat which seems like strep throat you had a reactivation of the hav and got these lesions as you feel better they will subside you may use acyclovir if you want but usually we treat the underlying cause and you are receiving the antibiotics for sore throat please do not squeeze it you can use any anti inflammatory agent for pain and fever like acetaminophen you can also try topical steroids like desonide I hope this helps