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Frequent bacterial infections on face, get large round red pus filled marks. What is the cause?

i have been getting alot of bacteria infections (my general practice doctor defines them) on my face lately( past few months), i have a perscription cream for them ( antibiotic ) but they usually dont heal for about two weeks (scars last much longer), they are not pimples instead they are large round red marks that are very pus filled and flat typically start as an under skin bump then develop into the large flat round red pus filled marks. What can cause these?
Asked On : Tue, 16 Oct 2012
Answers:  1 Views:  544
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Dermatologist 's  Response
Welcome and thanks for your question
I would be pleased to help you with your Question
Your history and clinical picture are suggestive of 'Recurrent Furunculosis'. The first step into figuring out how to prevent this is to get your blood sugar level done (both fasting and after a meal). Diabetes is a common cause of Recurrent Furunculosis.

If the sugar level is high then controlling it will prevent new lesions. Besides this here is what I recommend:

1. Mupirocin ointment twice a day for 5-7 days whenever the bumps come. If there is no improvement within 3 days of this then you will require a 5 days course of an oral antibiotic like Dicloxacillin 500 mg three times a day.

2. Dial Antibacterial liquid soap for bathing. Continue this even when asymptomatic.

3. Mupirocin cream twice a day in the inside skin of the nose for 14 days. This may seem strange since you have no symptoms there but this is the commonest site of carriage of the bacteria that causes this condition (staph). Infection keeps recurring from here through carriage by the fingers to other parts of the body.

NOTE: Dicloxacilllin and mupirocin will require a prescription so I would recommend discussing my recommendations with your GP/family physician. Bacitracin is an OTC alternative to Mupirocin cream.

Please feel free to ask if you have any queries.
Answered: Tue, 16 Oct 2012
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