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Suggest Treatment For Painful Boils With Puss
Question: Hi, I have been getting boils that become painful with puss. Once it brakes and releases all the puss collected, the pain reduces and then it heals due to the antibiotic prescribed by my doc (first time i was on ampicillin+cloxocillin and second time on cefexime). This seems to have got recurrent as this is the third time I got a new boil(actually set of boils next to each other,) and my doc has put me on the same antibiotic(cefexime) again since it has been around 10 days since I ended the previous course. The boils have already sofened and releasing puss. I am using T.bact ointment and dressing the wound.
Below are the values of my Complete blood count test done today on recommendation from my doc. Can you please check and tell if anything is wrong.
Haemoglobin 14.8 gm/DL
Total count 12,400 cells/cu.mm
Differential counts:
Polymorps 73%
Lymphocytes 22%
Eosinophils 3%
Monocytes 2%
Basophils 0%
E S R 28 mm/hr
Platelet count 1.58 lakhs/cu.mm
RBC count 5.53 mills/cu.mm
PCV 40.8 %
MCV 73.8 fl
MCH 26.7
MCHC 36.2
Random blood sugar 102 mg/dl
Please also suggest me more tests to rule out issues with my kidney and liver. I want to rule out each possibility one by one and zero down on the reason. Please help.
Below are the values of my Complete blood count test done today on recommendation from my doc. Can you please check and tell if anything is wrong.
Haemoglobin 14.8 gm/DL
Total count 12,400 cells/cu.mm
Differential counts:
Polymorps 73%
Lymphocytes 22%
Eosinophils 3%
Monocytes 2%
Basophils 0%
E S R 28 mm/hr
Platelet count 1.58 lakhs/cu.mm
RBC count 5.53 mills/cu.mm
PCV 40.8 %
MCV 73.8 fl
MCH 26.7
MCHC 36.2
Random blood sugar 102 mg/dl
Please also suggest me more tests to rule out issues with my kidney and liver. I want to rule out each possibility one by one and zero down on the reason. Please help.
Brief Answer:
Probably chronic MRSA infection.
Detailed Answer:
Thanks for your query at HCM
I understand your concern and situation.
The cause of repeated infection are likely due to resistant bacterial infection. The best treatment I suggest is to collect swab and send for routine microscopy examination and culture sensitivity test for aerobic and anaerobic bacteria. Based on that start your treatment. It will be more successful than taking blind antibiotics. It could be possible that someone in your family is a carrier of a resistant bacteria. Test yourself and family members for nasal carriage of Staphylococcus aureus apply mupirocin nasal cream. Use chlorhexidine body wash for 2 weeks. Separate towels for all family members. As your sugar levels are normal so no threat of diabetes. But still get HbA1C and fasting and post prandial blood sugar levels done. After following advise if problem persists then get immunological tests done to assess immune system. But as all your investigations in past have been normal so it is ost likely to be a chronic bacterial MRSA a drug resistant bacterial infection caused by staphylococcus aureus.
Take care.
Best of health.
If no clarifications then you can close the discussion and rate the answer and write a review.
Dr. Sheetal Verma
Infectious diseases Specialist
Probably chronic MRSA infection.
Detailed Answer:
Thanks for your query at HCM
I understand your concern and situation.
The cause of repeated infection are likely due to resistant bacterial infection. The best treatment I suggest is to collect swab and send for routine microscopy examination and culture sensitivity test for aerobic and anaerobic bacteria. Based on that start your treatment. It will be more successful than taking blind antibiotics. It could be possible that someone in your family is a carrier of a resistant bacteria. Test yourself and family members for nasal carriage of Staphylococcus aureus apply mupirocin nasal cream. Use chlorhexidine body wash for 2 weeks. Separate towels for all family members. As your sugar levels are normal so no threat of diabetes. But still get HbA1C and fasting and post prandial blood sugar levels done. After following advise if problem persists then get immunological tests done to assess immune system. But as all your investigations in past have been normal so it is ost likely to be a chronic bacterial MRSA a drug resistant bacterial infection caused by staphylococcus aureus.
Take care.
Best of health.
If no clarifications then you can close the discussion and rate the answer and write a review.
Dr. Sheetal Verma
Infectious diseases Specialist
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Above answer was peer-reviewed by :
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