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Is this an infected lipoma or a cyst? Can it cause fever/flu like symptoms? (Photo)

Slemswoman
Hi, I’ve had this lipoma on my back for a few years. Last Thursday it swelled up, became rock hard, red and hot. Since then I’ve had low grade fever and flu like symptoms. And lots of shoulder pain. Are the two related? What’s the best course of action? Thanks

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Dr. Nelson Castillo, MD
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Dr. Erik Borncamp, MD
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