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What Is The Cause And Treatment For Ecthyma Lesion?

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Posted on Mon, 7 Apr 2014
Question: Lesions and deep holes with tunneling started from mior staph , anibiotics fixed. Had oddecleasion on torso looked like the textureof orange with raised purple edged and nect to it appeared amsall hole eventually i had not this kind but dieferent lesions from favce neck had large skintexture circle with thick raised edge. Many on my torso with one cavity many tunnells my legs too each calf in same spot has hole , one had blood clot that i had procedure and ii have lesions on kidney and liver , ruptered silicone implantand the area the bug bite three draining holes fills up with round flesh balls they hurts and fall out snd more come every other weer ,no doctor will take my case when caviyie thatheals over breaks open and mushylesh and smelly frown ballshaped some out been tp derm, ifectious who disnt even lokkat them said iwas fine the average blood tests taken. I cant even mention the spider bitethey assume i am sayig ithik i have bugs and worms i my body when i dont, just the one, i had to goto hotel my family didnt want to catch it which is deemed not contageous , ihave a pic after my wound nurse cleaned a cavity a blob with white dots came in middle of night I have many more like this embarrassed to ahow . The one on my shoulder is wher the tiny bites were the edge that is pig, just gets bigger. Have taken$ 3000 in teats, no parasite, dark blood in feces Once again went to 4 era all said the was not emergency, in severe pain and the other are larger and deeper. anyone in this site near culver city , Los Angeles care to take a consult BCBSTX Ppo 100 percent oop already done
doctor
Answered by Dr. Dr. Kakkar (4 hours later)
Brief Answer: Ecthyma Detailed Answer: Hello and welcome to healthcare magic I am Dr. kakkar. I have gone through your query and I have understood it. I would keep a possibility of Ecthyma. Ecthyma is an ulcerative pyoderma of the skin caused by bacteria such as Pseudomonas, Streptococcus pyogenes, and Staphylococcus aureus. Ecthyma extends into the dermis, it is often referred to as a deeper form of impetigo. Ecthyma lesion usually begins as a small blister or pustule on an inflamed area of skin. A hard crust soon covers this. The crust can be removed to reveal an indurated ulcer that may be red, swollen and oozing with pus. Lesions may gradually enlarge to a sore of 0.5-3 cm in diameter. Ecthyma has a predilection for children and elderly individuals I would advice a 'culture and sensitivity testing' from one of the lesions, which would determine the bacterial flora and also guide antibiotic therapy. Empirical Treatment can be started pending culture report: -A topical antibiotic ointment such as fusidic acid or mupirocin is often prescribed for localised ecthyma. -Oral antibiotics: The preferred antibiotic is a penicillin group of antibiotics (e.g Amoxycillin in combination with clavulanic acid OR Dicloxacillin). The duration of treatment varies; several weeks of therapy may be necessary to completely resolve ecthyma. hope this answers your query regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Kakkar (2 days later)
I could not get in my email. Thanks for your reply what about the tunnelling and it being caused by silicone poisoning from my implant. Shouldn't I be hospitalized an the cavities cleaned
doctor
Answered by Dr. Dr. Kakkar (36 minutes later)
Brief Answer: Ecthyma Detailed Answer: Hi. I really doubt that the lesions are due to poisoning due to silicone implants. Apart from the oral antibiotics, hospitalization would definitely help in faster healing because you will get good nursing care(wound dressings, debridement of dead tissue etc). wish you a speedy recovery regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Kakkar (5 days later)
Dr did I Mention the spider bite my stools have odd thing in them just now each one had black flakes and chink some size of seeds I did enema and lately had to wear glove because I was constipated and had to help out this time sorry this is still embarrassing I went to feel up there it felt like large stool it felt like a mound of skin it is right at exit but won't come Out my stomach is bloated More papule like thing where the spider bite is is a large hole with round flesh colored balls come out except one that is stuck to the side and sorry I had to poke it it would not be pierced In any waist here a way I can upload more pics
doctor
Answered by Dr. Dr. Kakkar (15 minutes later)
Brief Answer: Use the pic uploader option Detailed Answer: Hi. You can upload more pics by using the uploader option. If you face any problem you can mail me the pictures on my email ID YYYY@YYYY . Regarding the concern related to your GI, stools/constipation I would advice that you consult a Surgeon. A surgeon would be better able to guide you regarding that. Take care regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Is The Cause And Treatment For Ecthyma Lesion?

Brief Answer: Ecthyma Detailed Answer: Hello and welcome to healthcare magic I am Dr. kakkar. I have gone through your query and I have understood it. I would keep a possibility of Ecthyma. Ecthyma is an ulcerative pyoderma of the skin caused by bacteria such as Pseudomonas, Streptococcus pyogenes, and Staphylococcus aureus. Ecthyma extends into the dermis, it is often referred to as a deeper form of impetigo. Ecthyma lesion usually begins as a small blister or pustule on an inflamed area of skin. A hard crust soon covers this. The crust can be removed to reveal an indurated ulcer that may be red, swollen and oozing with pus. Lesions may gradually enlarge to a sore of 0.5-3 cm in diameter. Ecthyma has a predilection for children and elderly individuals I would advice a 'culture and sensitivity testing' from one of the lesions, which would determine the bacterial flora and also guide antibiotic therapy. Empirical Treatment can be started pending culture report: -A topical antibiotic ointment such as fusidic acid or mupirocin is often prescribed for localised ecthyma. -Oral antibiotics: The preferred antibiotic is a penicillin group of antibiotics (e.g Amoxycillin in combination with clavulanic acid OR Dicloxacillin). The duration of treatment varies; several weeks of therapy may be necessary to completely resolve ecthyma. hope this answers your query regards