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Chest Keloids After CABG. Now Infected, Foul-smelling Pus, Painful. Best Antibiotic Treatment For SSTI

Posted on Tue, 27 Aug 2013

Question: Undergone CABG in 1990. I am 72. The sutures on the chest developed keloids which were not giving problem till recently. Now they (big scars) get infected frequently and pus oozes out emitting foul smell. It is somewhat painful too. I do not want to go to a plastic surgeon. A dermatologist friend of mine suggested that I should ignore the problem and live with it since I am old! Please suggest the best antibiotic treatment for SSTI (oral and topical) for this condition and how to keep the keloids from getting infected (hygienic precautions).

( I was with XXXXXXX as GM- Training and that is why I have used some medical terminology to show off my half-baked knowledge! Hope you do not mind)

Answered by Dr. Dr. Rahul Kumar (31 minutes later)

Hello,
Thanks for the query. First of all keloid can be treated so you dont need to live with it. As you understand medical terms it will make my work easy, explaining you things.
As it is infected the first line of treatment will be antibiotics.
As the pus is foul smelling a gram negative infection is most probable. Considering your age I must prescribe you more of topical antibiotics. The best will be moxifloxacin cream and orally you can take a third generation cefalosporin like cefixime. Another important thing is warm saline compress. It will help drain pus. Do this for 10 days. Once the infection is controlled, the keloid can be reduced by intra lesional injections. Let me know if you have any other doubt. Thank you

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

Follow up: Dr. Dr. Rahul Kumar (43 minutes later)

Dear Doctor,

Thanks for your prompt response.

I will start applying moxifloxacin cream on the affected area immediately. Any brand you can suggest?

I will start using cefixime immediately. (Cefixime 200mg b.d for 7 days- is it OK).
Any brand you can suggest?

Warm saline compress: Will follow.

Thanks and regards,

XXXX

Answered by Dr. Dr. Rahul Kumar (50 minutes later)

you can apply moxicip cream.
Take topcef tab 200 mg for 7 days.

Thank you

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