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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lyme Disease And Sepsis In Legs

I have Lyme Disease and sepsis of both legs for years. Doctors seem not to hear me when I said I was always prone to it as a child with insect bites. I am bitten most days since 2005. I had a heart scan last year and the infection was washed out of my heart with the dye into my legs. The doctor was trying to prove I had Lyme. Even though I found it does not show. My legs almost turned black 2 weeks ago. Though the colour has improved its still very painful. My GP is treating it as if it s a new infection. I said I needed IV antibiotics. It s even showed up as no infection despite me saying Lyme suppresses the markers.
Mon, 8 Jun 2020
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General Surgeon 's  Response
Hello,

As per my clinical experience, sepsis in legs if evidenced by:
- Raised WBC counts and ESR in lab data
- Red, warm, tender extremeties
- Compromised peripheral circulation in terms of absent or poor peripheral arterial pulsations
- High grade fever above 100 on persistent basis
- Uncontrolled diabetes
- Tingling, numbness, throbbing pain
- Any discharge (watery or purulent) from the skin of leg region
- Foul smell from the area
- Systemic signs of low blood pressure, raised pulse rate

If any of the above are present, it is usually mandatory to evaluate the condition in greter details on clinical grounds as well as supportive data from lab, Doppler ultrasound with or without X-ray leg. Later on clinician decided the mode of action in terms of hospitalisation and debridement of sepsis part intravenous antibiotics on OPD basis or indoor patient OR oral antibiotics and anti-inflammatory medications with regular sterile dressing.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Lyme Disease And Sepsis In Legs

Hello, As per my clinical experience, sepsis in legs if evidenced by: - Raised WBC counts and ESR in lab data - Red, warm, tender extremeties - Compromised peripheral circulation in terms of absent or poor peripheral arterial pulsations - High grade fever above 100 on persistent basis - Uncontrolled diabetes - Tingling, numbness, throbbing pain - Any discharge (watery or purulent) from the skin of leg region - Foul smell from the area - Systemic signs of low blood pressure, raised pulse rate If any of the above are present, it is usually mandatory to evaluate the condition in greter details on clinical grounds as well as supportive data from lab, Doppler ultrasound with or without X-ray leg. Later on clinician decided the mode of action in terms of hospitalisation and debridement of sepsis part intravenous antibiotics on OPD basis or indoor patient OR oral antibiotics and anti-inflammatory medications with regular sterile dressing. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon