Suggest Treatment For Cellulitis

Posted on Wed, 20 Sep 2017

Question: My grandmother has Cellulitis on right leg. Leg has too much swelling and it that place was hard and painful. Then doctor gave antibiotics for 17 days. But no improvement.

Then she used R1 for Inflammation using for 3 days only.

Please check attached picture . Clearly Water fluid is coming out from that point .
We
Can you please suggest Medicine for that .

Venusdoppler ultrasound is clear .Sugar normal . Blood sugar normal . ESR is normal.

Answered by Dr. Bhagyesh V. Patel (33 minutes later)

Brief Answer:
unresolving cellulitis case.provide further details please .

Detailed Answer:
Hello XXXX,

Welcome to Healthcaremagic.com
I have evaluated your query with attached photograph .

* There is cellulitis with discharge of cellulitis fluid from the middle part .

Kindly provide further details so that I can answer your query completely .

1. Details of names of antibiotics given till now if possible .
2. Any culture report of the exudate fluid done .
3. Leg is advised to be kept in any particular position or not .
4. History of fever .
5. Total WBC count is normal or not .

Awaiting for your response .

Regards .

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhagyesh V. Patel (40 minutes later)

Hi

1..antibiotics : cefspan and clindamycin

2.. culture report of the exudate fluid done : None. Just saw the fluid today only.

3.. Leg is advised to be kept in any particular position or not . :

we were advised to keep it straight. Not to sit with the leg in hanging position.

4.. History of fever : No hx of fever.

5.. Wbc count is normal

Answered by Dr. Bhagyesh V. Patel (6 minutes later)

Brief Answer:
Thorough guidelines provided .

Detailed Answer:
Hello dear

Thanks for the details .

* Suggestions for better recovery

- Must keep the leg elevated at 45 degree angle with support of at least 3 - 4
pillows through out the day that is the basic modality of cellulitis management .

- Ideally culture report of this fluid must be sent to the laboratory for further
antibiotic management .

- Medicine recommendations till then
* Cap. amoxycillin with clavulanic acid combination is giving excellent results
in our clinic .
* Also required is anti inflammatory tablet as diclofenac or else with
combination of proteolytic enzymes as serratiopeptidase .

Hope this will help her a lot .
Wishing her fine recovery from the same .

Regards .

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Above answer was peer-reviewed by : Dr. Prasad