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Suggest Treatment For Facial Erysipelas

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Posted on Thu, 1 Sep 2016
Question: Hi,

I was seen Monday by a nurse practitioner. I have a spot on my chin that he believes is a staph infection. I also had a very swollen gland under my chin, and the pain was from my neck to my chin. He prescribed Keflex, but nothing topical. The pain under my chin is improving, but the actual sore on my face is more painful and I suspect a second spot may be erupting. Should I go back to the doctor, or is this normal in the process of healing? As a background, I went through radiation for breast cancer two years ago, followed by the flu, two different kinds of pneumonia and significant steroid use. All of that was finished a year ago. Thank you.
doctor
Answered by Dr. R.G. Joshi (1 hour later)
Brief Answer:
staph infection,erysipelas

Detailed Answer:
Hello,

Thanks for writing to healthcare magic.I can understand your concern.

Probably you are having skin deep staph infection.This is known as erysipelas.

Any trauma,dental infection can cause such infection.Steroids ,radiation therapy probably cause decrease in immunity leading to such infections.

Cephalexn(keflex) works best in such cases.However at times such infections are caused by MRSA (methicillin resistant stpah aureus).In such cases there is no response to keflex and probably a change in antibiotic is advised. Linezolid works best in such cases.In my opinion It will be better to complete course of prescribed antibiotic and in case there is no response consult your doctor.

I will also advise you ice application and analgesics for improvement.

I hope this will help you.In case of any concern i will be happy to help you.Take care.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. R.G. Joshi (3 hours later)
Thank you!
doctor
Answered by Dr. R.G. Joshi (36 hours later)
Brief Answer:
Welcome

Detailed Answer:
I hope my answer helps you. For now, if you don't have more questions, please close this discussion.

Regards
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by : Dr. Priyanka G Raj
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Answered by
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Dr. R.G. Joshi

Dermatologist

Practicing since :2003

Answered : 733 Questions

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Suggest Treatment For Facial Erysipelas

Brief Answer: staph infection,erysipelas Detailed Answer: Hello, Thanks for writing to healthcare magic.I can understand your concern. Probably you are having skin deep staph infection.This is known as erysipelas. Any trauma,dental infection can cause such infection.Steroids ,radiation therapy probably cause decrease in immunity leading to such infections. Cephalexn(keflex) works best in such cases.However at times such infections are caused by MRSA (methicillin resistant stpah aureus).In such cases there is no response to keflex and probably a change in antibiotic is advised. Linezolid works best in such cases.In my opinion It will be better to complete course of prescribed antibiotic and in case there is no response consult your doctor. I will also advise you ice application and analgesics for improvement. I hope this will help you.In case of any concern i will be happy to help you.Take care.