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What Causes Recurrent Swelling And Redness In Ankle Despite Taking Medication?
I, Lata Pandhare, 66, has some swelling and redness near rt ankle. Developed after Both TKR in 2014. Problem since feb 15. Since on antibiotics like amoxy, augmentin, septum and what not. Subsides till the medication. Errupts within two days. Had it opened with cuts at Sahadri (dr J. Shinde) in may. No relief.
Mon, 22 Jun 2020
Hello,
As per my clinical experience, the definite underlying cause of the swelling and redness in ankle is matter of evaluation for the possible differential diagnosis as:
- Recurrent Bursa cyst after excision or incision and drainage
- Chronic cellulitis
- Recurrent bacterial infection of subcutaneous tissue
- Draining sinus of fungal infection or atypical organisms as Nocardia or others
In my clinic, I do recommend thorough clinical examination with peripheral pulsation and may advise for the need of:
- Diabetes profile
- Doppler ultrasound of the lower limb
- Complete hemogram and WBC ount
- X-ray of the right ankle to rule out any bony lesion secondary to this
- MRI as last resort if everything above turns out to be negative only.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon
As per my clinical experience, the definite underlying cause of the swelling and redness in ankle is matter of evaluation for the possible differential diagnosis as:
- Recurrent Bursa cyst after excision or incision and drainage
- Chronic cellulitis
- Recurrent bacterial infection of subcutaneous tissue
- Draining sinus of fungal infection or atypical organisms as Nocardia or others
In my clinic, I do recommend thorough clinical examination with peripheral pulsation and may advise for the need of:
- Diabetes profile
- Doppler ultrasound of the lower limb
- Complete hemogram and WBC ount
- X-ray of the right ankle to rule out any bony lesion secondary to this
- MRI as last resort if everything above turns out to be negative only.
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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