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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Surgical wound infection

Spouse had medial thigh life 14d ago; developed infection ca. 1wk post-op near top of thigh. Treated IV cephalosporin pre-/post-op, oral cefazolin 4d post-op, oral cipro (500mg BID) for 7d, now on 875/125 amox/clav BID for 2.5 days. Slight drainage, some pus; incision open about 1/2 at top, closed elsewhere, low-grade transient fever (99-99.5). Inner thigh very red/purplish, hard, undulated skin. Appeared to get a bit better about 48h after cipro, then got worse and went on amox/clav. PS could not find an abscess . Awaiting culture tests, but it s been 60 hr since amox/clav therapy, some regression of superficial redness but hardness under skin still present and area looks angry and purple, 3-5cm out from infection focal point. Affected thigh quite swollen compared to other side. Changing dressings w/chlorhexidine and peroxide cleanse every 3-5 hrs. How long should we give this before going to ID expert or requesting linezolid?
Tue, 15 Mar 2011
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  Anonymous's Response
's  Response
You can continue the routine antibiotics as advised by your consultant and along with that you can take silicea 30 4 tabs 4 times in day .Report after 3-4 days .
Hope this will help your wife to recover fast.
Thanks,
dr jignesh
Dermatologist Dr. Gaurang Krishna's  Response
Hello,
welcome to HealthcareMagic.
Your spouse seems to be having an organized abscess and it takes a little longer to treat these infections than normal pyodermas. I suggest that you wiat for the culture reports and then let your physician plan accordingly.
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Surgical wound infection

You can continue the routine antibiotics as advised by your consultant and along with that you can take silicea 30 4 tabs 4 times in day .Report after 3-4 days . Hope this will help your wife to recover fast. Thanks, dr jignesh