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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Wound Due To A Lump?

I am a male 59 years old and a parapligic T7-T11. I have wound on my left buttock approximately 5 cm by 5 cm by 3.5 cm deep. The wound occured from a hard lump that was lanced and then got infected. I am currently using a wound vac and it appears to be getting smaller, however arround 3 pm in the afternoon I develop chills and then by 5 pm I have fever of arround 100 degrees. I take tylond and the fever goes to normal but at night I have sever sweeting. Is there anything I can do?
Sat, 31 May 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.
This is certainly indicative of an active infection in the would or may be in the urinary tract or so .
I would advise to undergo the tests of Blood / urine- routine, microscopy, culture and sensitivity/ IF pus is there in the wound - swab for gram staining, culture and sensitivity.
And start a broad spectrum antibiotic once the samples are drawn ( always the samples are drawn first before the start of the antibiotic to get correct diagnosis).
Wound care and other medicines as per requirement and under a guidance of a Doctor is most welcome.
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What To Do For Wound Due To A Lump?

Hi. Thanks for your query and an elucidate history. This is certainly indicative of an active infection in the would or may be in the urinary tract or so . I would advise to undergo the tests of Blood / urine- routine, microscopy, culture and sensitivity/ IF pus is there in the wound - swab for gram staining, culture and sensitivity. And start a broad spectrum antibiotic once the samples are drawn ( always the samples are drawn first before the start of the antibiotic to get correct diagnosis). Wound care and other medicines as per requirement and under a guidance of a Doctor is most welcome.