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Suggest treatment for recurrent infection on the ankle

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Posted on Sat, 8 Apr 2017
Question: I have an open wound (ulcer) on my ankle following ORIF some 8 years ago. It comes and goes. I have had repeated infections and am really struggling to live a normal life
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Answered by Dr. Monika Dede (1 hour later)
Brief Answer:
Please see the detailed answer below.

Detailed Answer:
Hello! I have been through your question.
Related your concern you should know that if you have done a lot of procedures and ORIF, exists a high possibility of risks and complications can include bacterial colonization of the bone,wound infection.
Furthermore I need to know more about your health problems because immunosuppressed patient (with diabetes, etc) are more susceptible from resistant hospital infections(especially MRSA, pseudomonas aeruginosa), and have trouble healing of wounds.
I suggest to take a wound culture in order to find germs (such as bacteria or a fungus) that can cause an infection and to see antibiogram if the antibiotics that you have used are resistant or not.
Usually this open wound need a prolonged therapy with combined antibiotics that are sensible on antibiogram.
As well you should know that the hyperbaric oxygen therapy is very useful and can treat serious infections, and wounds that won't heal as you have.
I hope my answer helps you.
I wish you a quick recovery.
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Monika Dede

Infectious Diseases Specialist

Practicing since :2003

Answered : 990 Questions

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Suggest treatment for recurrent infection on the ankle

Brief Answer: Please see the detailed answer below. Detailed Answer: Hello! I have been through your question. Related your concern you should know that if you have done a lot of procedures and ORIF, exists a high possibility of risks and complications can include bacterial colonization of the bone,wound infection. Furthermore I need to know more about your health problems because immunosuppressed patient (with diabetes, etc) are more susceptible from resistant hospital infections(especially MRSA, pseudomonas aeruginosa), and have trouble healing of wounds. I suggest to take a wound culture in order to find germs (such as bacteria or a fungus) that can cause an infection and to see antibiogram if the antibiotics that you have used are resistant or not. Usually this open wound need a prolonged therapy with combined antibiotics that are sensible on antibiogram. As well you should know that the hyperbaric oxygen therapy is very useful and can treat serious infections, and wounds that won't heal as you have. I hope my answer helps you. I wish you a quick recovery.