Conversation: The conversation between human and AI assistant.
[|Human|] I was bitten by some type of spider during the night, its been just over 4 months since the bite, the first couple of months it didn t see to bad and actually looked like it was getting better , as they time went by it slowing started getting worse, now it is really red and around the bite and very painfully ,the bite it self has turned in to a sore that it looks like hole ,I also stepped on a nail in my sisters yard a couple months back and was wondering if by chance by stepping on the nail would have had anything to do with it getting worse?
[|AI|]  Hello, Thank you for trusting ChatDoctorStepping on nails is not the likely cause for your symptoms. The spider bite could be possibly by a brown recluse spider which can cause the characteristic skin ulcer. Most cases heal by itself. However, complications like an infection of the wound can prevent healing. In such cases treatment with antibiotics and skin debridement. Please be advised to follow up with your primary care provider to confirm the diagnosis and appropriate management. Meanwhile, apply mupirocin antibiotic ointment and take Tylenol for pain. Hope this answers your questions me know if you need further clarifications Chat Doctor.