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Suggest Treatment For Cellulitis On Inner Thighs

Posted on Tue, 30 Dec 2014

Question: Hi I am a 44 yr old male based in XXXXXXX My Doctor tells me I have cellulitis on my right inner thigh. has prescribed Augmentin and Lyser-D. Is there a definitive test for cellulitis or is it just based on looking at skin and making a judgement based on that. I don't want to take unnecessary antibiotics

Answered by Dr. Arun (23 minutes later)

Brief Answer:
Treatment is based on right judgement...

Detailed Answer:
Hello XXXX,
I understand your concern.
I am Dr. Arun Tank, infectious disease specialist, answering your concern.

The provided treatment is based on judgement and it is correct.

Usually such skin infection like cellulitis, carbuncle, impetigo etc. cause mostly by staphylococcus bacteria. They are commensal flora of the skin. Infection initiates when your hair follicle is pulled by some means.

As they are commensal flora they ate variety of antibiotics and becomes resistant to routinely prescribed drugs.

So for such a infection strong antibiotic combination like amoxycillin and clavulanic acid is prescribed.

In addition to it please check your blood sugar levels once, such infections are common in diabetics.

Maintaining the local hygiene with dressing and cleanliness with neosporin powder makes more favorable environment for effective treatment.

I will be glad to answer your further concern ask me here or your can contact me for future reference on bit.ly/DrArun
We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Arun (14 days later)

I have been on Augmentin duo 1 gm (1 morning and 1 evening) for 2 weeks. I visited the doctor again today.TThere is good improvement but he has asked me to take Linezolid 600 mg (1 morning and 1 evening) for another 7 days. I think I am ok and don't want to take additional high strength antibiotics. I have also got my Random Blood Sugar done which is normal. Pls advise

Answered by Dr. Arun (12 hours later)

Brief Answer:
Pain, discharge etc requires Linezolid

Detailed Answer:
Hi XXXXXXX Nagpal,

Thank you for asking query.

Linezolid is the reserve antibiotic. It will be used only in case of the resistant organisms causing infections like enterococcus and MRSA (Methicillin Resistant Staphylococcus aureus)

If you have swelling, pain, redness at the infection site than you can take the linezolid.

Linezolid helps to cure your infections caused by resistant organisms.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Arun (24 minutes later)

I have no swelling or pain. Redness has reduced considerably from what it was 2 weeks back. Should I seek a second opinion?

Answered by Dr. Arun (1 hour later)

Brief Answer:
No need for further treatment..

Detailed Answer:
Hi,

As per your description infections is at the point of healing.

In my opinion there is no need for further treatment.

Please maintain local cleanliness and hygiene. Do regular dressing until you are completely cover up with the infections. Discuss about this your doctor who prescribed Linezolid.

Please feel free to ask me any thing queried.

Thank you.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju