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What Do Recurrent Painful Bumps In A Diabetic Indicate?

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Posted on Thu, 12 Jan 2017
Question: Male 53 diabetes not on insulin since Feburary been breaking out with painful large bumps. Started at waist, June/july under arms and wife drained 1 or 2 hardly anything came out. Doctor tested mucus and positive for mirsa. Took antibiotics. Continued to get uder other arm. Now it's going crazy in 2 weeks have 1 on left cheek then ring finger and another ON right cheek starting. On antibiotic again, but no explanation of what is cause if there is something underline it could be and these are very painful
What are some things this could be ?
doctor
Answered by Dr. Saddiq Ulabidin (2 hours later)
Brief Answer:
Can be due to immunocompromised state due to diabetes

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, such recurrent infections may occur in the setting of immunocompromised states like in diabetes.

Since last time MRSA was responsible, kindly get a puss culture and sensitivity done this time again to specify the exact bug causing the infections in your case. So that targeted antibiotics therapy can be taken.

Topical antibiotics may also be needed and if pustules or bumps are still inflamed or containing pus, may need incision and drainage by a surgeon. Frequent hand washings, and using hand sanitizers can reduce the incidence. Using detol or other disinfectants in bathing water may reduce recurrence frequently. Also check your water source and use filtered water even for topical usage keeping the history of recurrent infections in your case.

Diabetes control and strict follow up is mandatory to have control over the infections and to reduce possible complications.

Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Saddiq Ulabidin (7 hours later)
Can this be life threatening? Is this common? I did have a knee replacement almost 3 years ago, could this germ be from being healthy and now been off work 3 years its attack is stronger
doctor
Answered by Dr. Saddiq Ulabidin (20 hours later)
Brief Answer:
It needs to be treated in time with antibiotics and is controlable mostly

Detailed Answer:
Hi!
Thanks for sharing the feedback.

It's not life threatening at this level and is controllable with antibiotics according to culture and sensitivity reports. Though if untreated or if spreads into blood it can lead to a condition called sepsis which may require injectable antibiotics. It's not very common but isn't uncommon either. In hospitalised patients it may cause hospital acquired infections. In immunocompromised individuals it's more common to get infections than normal individuals. Also get the knee transplants reviewed with your primary doctor to rule out any source if infection through them.

Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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What Do Recurrent Painful Bumps In A Diabetic Indicate?

Brief Answer: Can be due to immunocompromised state due to diabetes Detailed Answer: Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, such recurrent infections may occur in the setting of immunocompromised states like in diabetes. Since last time MRSA was responsible, kindly get a puss culture and sensitivity done this time again to specify the exact bug causing the infections in your case. So that targeted antibiotics therapy can be taken. Topical antibiotics may also be needed and if pustules or bumps are still inflamed or containing pus, may need incision and drainage by a surgeon. Frequent hand washings, and using hand sanitizers can reduce the incidence. Using detol or other disinfectants in bathing water may reduce recurrence frequently. Also check your water source and use filtered water even for topical usage keeping the history of recurrent infections in your case. Diabetes control and strict follow up is mandatory to have control over the infections and to reduce possible complications. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.