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I'm Asking On Behalf Of My Wife. She's Venezuelan, 26
Question: I'm asking on behalf of my wife. She's Venezuelan, 26 years old.
My wife is in Medellín, Colombia. She had a c-section on September 17th. Five days later she got an infection in the wound that was determined to be MRSA. She was on Clindamycin for 10 days. About 4 days after stopping the Clindamycin the nurse cleaning her wound said that there was a lot of fluid and something she called a "seroma" forming and told my wife to go to a doctor. Also my wife developed Mastitis and came down with a 102 temperature and had strong breast pain and is unable to remove milk. We went to a doctor and her c-reactive-protein level was at 9.57. They are saying that the Clindamycin didn't work, because the infection came back, and so they are putting her on Ampicilin. Does this seem right?
My wife is in Medellín, Colombia. She had a c-section on September 17th. Five days later she got an infection in the wound that was determined to be MRSA. She was on Clindamycin for 10 days. About 4 days after stopping the Clindamycin the nurse cleaning her wound said that there was a lot of fluid and something she called a "seroma" forming and told my wife to go to a doctor. Also my wife developed Mastitis and came down with a 102 temperature and had strong breast pain and is unable to remove milk. We went to a doctor and her c-reactive-protein level was at 9.57. They are saying that the Clindamycin didn't work, because the infection came back, and so they are putting her on Ampicilin. Does this seem right?
They are claiming her swollen breasts are mastitis and are prescribing antibiotics for it, but they don't have any labs to confirm that. And the lactation consultant said she doesn't think the breasts have an infection, that it's only engorgement. Should the doctors be using antibiotics to treat mastitis without any labs to confirm that they are in fact infected? They said using Ampicilin will help the mastitis and they needed to switch antibiotics because the MRSA infection has returned to the c-section wound and this means the clindamycin didn't work.
Brief Answer:
Can be a mastitis.
Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns.
The presence of fluid discharge, raised CRP levels and a high grade fever are all suggestive of an infection- can be due to the wound of cesarean section or due to mastitis. The swollen breasts can be related to mastitis or congestion. The fluid from the wound can be sent for a culture sensitivity testing to confirm if it is a reactive fluid discharge or due to infection. Taking ampicillin will help in controlling the breast infection in next 3-4 days. She will feel symptomatically better. In the absence of proper facilities, sometimes giving a drug trial for few days helps in confirmation of diagnosis. She can start with ampicillin and see if it helps in improvement in next few days.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Wishing you good health.
Regards.
Dr. Rakhi Tayal
Can be a mastitis.
Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns.
The presence of fluid discharge, raised CRP levels and a high grade fever are all suggestive of an infection- can be due to the wound of cesarean section or due to mastitis. The swollen breasts can be related to mastitis or congestion. The fluid from the wound can be sent for a culture sensitivity testing to confirm if it is a reactive fluid discharge or due to infection. Taking ampicillin will help in controlling the breast infection in next 3-4 days. She will feel symptomatically better. In the absence of proper facilities, sometimes giving a drug trial for few days helps in confirmation of diagnosis. She can start with ampicillin and see if it helps in improvement in next few days.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Wishing you good health.
Regards.
Dr. Rakhi Tayal
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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