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Elevated WBC, ABS. Had foot surgery, pain, swelling, fever. What to do?

I have an elevated WBC of 16 (values are 4-10), elevated ABS.SEGS 0f 11 (values arer 1.8-7.7) intensive medical histort inluding Crohn s Dsease and on 3 immuno-supressive meds also increasing my risk of infection . I had foot surgery 3 weeks ago. cast removed less than 2 weeks ago, stitches were removed and incision wasn t healed (as I do not heal quickly from even a small cut or scratch ) so steri-strips were applied as well as a new cast. about a week later i had increased pain swelling and even with 800mg of motrin q4hrs running a low grade fever. Went to ER and they did nothing but tell me to call my Surgeon which I did prior to resulting to ER (no call back was recd) the ER visit was Sunday early morning. I called my Surgeon and left another message today and havent heard back. with my history and blood work and symptoms I am at a loss as to what to do. please help.
Asked On : Thu, 28 Feb 2013
Answers:  1 Views:  58
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

Based on your description, I am of the opinion that your wound got INFECTED. Because post operative increase in pain ,associated fever, presence of swelling and non healing of the wound suggests infection untill proved otherwise.

So I think, only Motrin is not going to help. An appropriate ANTIBIOTIC is to be used for a stipulated time.

You need a thorough evaluation in the form of biochemical investigations & other inflammatory markers.

Hope this information is helpful. Good day
Answered: Thu, 1 Aug 2013
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