What is the treatment for cystic acne, earache and body sore?
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Hi... I have been having strange symptoms that are being diagnosed as staph but not MRSA. A sore was cultured to rule that out. But they are not responding to 3 different rounds of Bactrim DS. They started close to a year ago now. My face started breaking out badly. My first thought was cystic acne, which surprised my as I am 45 (female) and have no history of acne at all. But the breakouts were not normal... They had multiple white stringy type areas in each of them that when I tried to squeeze out never ended and were very bloody. Also it literally spread to the surrounding skin and expanded the sore. Then they cleared up on my face and started popping up on my lower legs about 2 months after. Within the next year I kept getting more and more of them on my lower legs, then my lower arms, then I got them on my upper arms, upper legs, on my rear (extremely painful those were) and my back. They are very itchy, especially at night.... I have a very strange feeling in my left ear, like it's itchy but it's not.... It's hard to describe, it is bothersome and at night I get earaches that range from bad to really bad. I constantly spit up globs of mucus that has little gel like balls that stick together and can be pulled apart from the mucus intact... they have what looks like green strands in them but when I dry them they are tiny blue thread type things. When I scratch a body sore, the blood that comes out (along with normal red blood, is dark, like black... it is also gel like at when I move it around it also seems to have that threadlike stuff in it as well as little black specs of something and clear small things that curl up. When I push these things keep coming keep coming and then as soon as they are "done" no more blood or anything will come out. In the last week it seems all my joints hurt and ache.... neck, shoulders, elbows, wrists, hands, knees, ankles, feet, my stomache aches, not like a belly ache though. I can sleep all day long. I don't know it is connected but I want to include all my symptoms.... for the past three winters (I live in CT) I have had Pernio on my feet.... Is this really Staph? Why isn't it clearing up if it's not MRSA? What the heck is in my blood? When the sores heal they don't really heal.... The scars have a thin coating and under it is still bluish dark .... theres little pools of blood under them and they re-break open.
Posted Mon, 3 Feb 2014 in Skin Hair and Nails
Answered by Dr. Saumya Mittal 8 hours later
Brief Answer: suggest skin biopsy Detailed Answer: Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query I after reading your query, and having a look at the pictures have a few doubts. Let me explain it to you- The syndrome, the collection of the symptoms you have are indicative of staph infection. I would not doubt it at all. There are two issues that I want to help you with 1. Why are they not healing? Is it possible you have some condition that does not allow healing to take fast quickly? You may have conditions like diabetes and SLE that do not heal fast. 2. Could this be possibly something else, like may be pemphigus or pemphigoid with secondary staph infection? The doubt rises because staph infection can get prolonged especially since you cannot be given penicillin. I have the following suggestions 1. Talk to your doctor about erythromycin. Its an antibiotic used when penicillin is resistant, and in your case allergic. And I cannot be sure of the antibiotic cover he has started since I don't know the culture report. 2. Try for a skin biopsy. It will take a small piece from your ulcer and test if you possibly have something else. 3. Get some other tests like FBS, ANA, XXXXXXX TSH to know if you have some condition that delays healing, and to look for other causes. I hope this helps. I know as of now I have not been able to give you a definitive answer. Inform the reports mentioned above so I can be of help further. Best of luck. I must say that adding the pictures was a very good idea. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further.
Follow-up: What is the treatment for cystic acne, earache and body sore? 46 hours later
Hi Dr. Mittal, Thank you for response. It makes much sense to find WHY staph is not healing rather than assume my diagnosis has been wrong. I will print and bring your response to my appt. but I cannot see my Dr until the 21st. Just to follow up... Staph CAN cause the black specs and threadlike structures I'm seeing in my blood and mucus that I spit up and blow out my nose? And more IMPORTANT: does that mean it is in my blood and/or lungs? Thank you!
Answered by Dr. Saumya Mittal 2 hours later
Brief Answer: response to specific questions Detailed Answer: Hi again. Thank you for your response and confidence in me. First, you said that the bacteria, Staph, was grown in your blood culture. So of course it is in the blood. Any bacteria will involve the blood. They use the same media as we do to transfer to the other parts of the body. That is the function of blood and they use it as well. As for the question whether it is in your lungs, I can only say that there is a chance it is in your throat at least if not in the lungs also. I cannot examine you so I cannot give a definite exam. If it would be in the lung, you would have fever, cough and breathlessness if it is so long standing. An x ray of the chest is what I can suggest to make sure, along with a sputum culture. Black spots are known, though more commonly with MRSA. However, other causes like fungal infections should be ruled out in the long run. And there the skin biopsy will definitely help. I hope your doctor agrees with this when you meet them. Best of luck Dr Saumya Mittal
Follow-up: What is the treatment for cystic acne, earache and body sore? 48 minutes later
Thank you so very much for taking your precious time to be of so much help to people.... You are much appreciated and i wish you much happiness in life ~
Answered by Dr. Saumya Mittal 20 minutes later
Brief Answer: get well soon Detailed Answer: And I hope you get well soon. Thanks for the appreciation. Best wishes Dr Saumya Mittal