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Suggest Treatment For Staphylococcus Infection
Question: I have a staph infection on the inside of my thigh; I have been on Doxy for a week and the infection is mostly gone, but the problem is that the area that's healed is a little purple and the hole in the center is small and closed up and it itches like crazy. The purple area is a little hard so I took a needle and cleaned it with beta dine and poked at the closed hole in the middle of the infection and a lot of blood came out. I barely pricked the skin area and I did not even feel it. Is that normal, the bleeding? I really barely touched the area, as it was almost like barely popping a blister.
Brief Answer:
Wound hygiene is most important.
Detailed Answer:
Thanks for your query at HCM.
I understand your concern and situation.
You are suffering from S. aureus infection in the thigh. It is often seen that Staphylococcus infection are often polymicrobial in origin and require special consideration.
I suggest you should be taken oral antibacterials such as penicillinase-resistant penicillins such as flucloxacillin which will be more beneficial. But if wound has responded to doxycycline then there is nothing to worry you can continue. Ideally in such infection treatnent of 10 days must be taken. Cefalexin and erythromycin are suitable alternatives. The choice of antibacterial is of utmost importantance, also do supportive management and removal of any infected foreign bodies, surgical drainage of walled-off lesions by health care providers and do not attempt it on your own as it can further complicate your wound infection.
I suggest do regular proper wound cleaning with betadine or chlorhexidine. Apply mupirocin 2-3 times per day. If there is any discharge coming then get gram staining microscopy and culture sensitivity test for aerobic and anaerobic bacteria.
As you are complaining itching it is sometimes seen in normal course of wound healing but still to rule out any fungal etiology get swab examination done for fungal microscopy also. You will have to visit doctor for getting prescription. Do not worry about bleeding. Doxycycline is less effective in drug resistant staphylococcus infection. If your wound infection deteriorates then you can switch to different antibiotic.
I hope I answered your query.
You can take a follow-up query.
If no clarifications then you can close the discussion and rate the answer.
Dr. Sheetal Verma
Infectious diseases Specialist
Wound hygiene is most important.
Detailed Answer:
Thanks for your query at HCM.
I understand your concern and situation.
You are suffering from S. aureus infection in the thigh. It is often seen that Staphylococcus infection are often polymicrobial in origin and require special consideration.
I suggest you should be taken oral antibacterials such as penicillinase-resistant penicillins such as flucloxacillin which will be more beneficial. But if wound has responded to doxycycline then there is nothing to worry you can continue. Ideally in such infection treatnent of 10 days must be taken. Cefalexin and erythromycin are suitable alternatives. The choice of antibacterial is of utmost importantance, also do supportive management and removal of any infected foreign bodies, surgical drainage of walled-off lesions by health care providers and do not attempt it on your own as it can further complicate your wound infection.
I suggest do regular proper wound cleaning with betadine or chlorhexidine. Apply mupirocin 2-3 times per day. If there is any discharge coming then get gram staining microscopy and culture sensitivity test for aerobic and anaerobic bacteria.
As you are complaining itching it is sometimes seen in normal course of wound healing but still to rule out any fungal etiology get swab examination done for fungal microscopy also. You will have to visit doctor for getting prescription. Do not worry about bleeding. Doxycycline is less effective in drug resistant staphylococcus infection. If your wound infection deteriorates then you can switch to different antibiotic.
I hope I answered your query.
You can take a follow-up query.
If no clarifications then you can close the discussion and rate the answer.
Dr. Sheetal Verma
Infectious diseases Specialist
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Well the purple area is getting much smaller since it has bled. Do you think the tissue is necrotic possibly under the skin? Or maybe its a blood patch of some sort? It never bled before. Its really red not mixed with pus.
Brief Answer:
Nothing to worry.
Detailed Answer:
Hi.
Your wound is in process of healing and remodeling. Blood cells, including oxygen-rich red blood cells, arrive to help build new tissue. During scabing this sometimes or yes it may be necrotic debris which is seen as fresh blood. As the size has decreased there is nothing to worry about. But proper wound examination is needed for better interpretation.
Take care.
Nothing to worry.
Detailed Answer:
Hi.
Your wound is in process of healing and remodeling. Blood cells, including oxygen-rich red blood cells, arrive to help build new tissue. During scabing this sometimes or yes it may be necrotic debris which is seen as fresh blood. As the size has decreased there is nothing to worry about. But proper wound examination is needed for better interpretation.
Take care.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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