Hi,

Thanks for posting your query.

I think you need to have a blood culture and sensitivity testing. Always choose the antibiotics from the lists of sensitive antibiotics with the least MIC (minimum inhibitory concentration). Do a repeat ultrasonography (USG) of abdomen to look for any pent up pus there because that may be the cause of your persistent infection.

As far as chronic actually no need of drug therapy. But there are many long term complications of interferon alfa along with ribavirin with some success. Consult a gastroenterologist and take his opinion on these issues.

Its very unusual for your surgeon to leave sponge there. If this is the case then it is a criminal offence. But your CT report doesnot reveal it. If it was there it would have been detected.

Hope I have answered you. If you have further queries you can write back to me freely.

Wishing you quick recovery,
Rest Regards,
Dr Arnab Maji

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Hello,

Thanks for writing back.

The multiple densities within the colon are consistent with previously ingested radiopaque material. It can never be sponge for sure. You may have a repeat scan and if it is due to radiopaque materials then now it should not be there. By this way you can alleviate your anxiety to some extent.

Don't you have any underlying immunocompromised conditions like diabetes, prolonged steroid intake, HIV infection because presence of these may cause such persistence of infection. So go for fasting and post-prandial blood suger (FBS, PPBS), serum total IgG assay, ELISA test for HIV1 and 2 to exclude those conditions if not done yet.

Another point I want to mention here. I have seen from your report that there is calcified spot in the pelvic region which may be an impacted phlebolith causing this persistent infection. Discuss this issue also with your doctors. I think a repeat scan will really be helpful for you.

Hope I have answered you. If you have further queries dont hesitate to write back.

Wishing you quick recovery,

Regards,
Dr Arnab Maji

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