### Patient: Doctor, I am experiencing redness, swelling, and pain in my arm. I also have a fever and chills. 
### Doctor: It sounds like you may have Lymphangitis. I would prescribe you a combination of antibiotics such as Ceftriaxone or Cephalexin. If those are not effective, we can also try Bactrim or Clindamycin. We can also consider a combination of antibiotics like Augmentin, Cefazolin, Ceftazidime or Cefadroxil depending on how severe the infection is. For local management, you can use Povidone Iodine Topical (Betadine) to gently clean the area. Additionally, I would recommend you for birth control and prescribe valacyclovir (Valtrex) to prevent future outbreaks.