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What Causes Throat Infection Post A Bypass Surgery?

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Posted on Tue, 5 Apr 2016
Question: Is infections common after bypass surgery which was done 2 months ago. Wound infection will not clear since op and then had infection where u pass urine and now throat infection. Lumps r forming in infected places . Wht can this be ? Female aged 74
doctor
Answered by Dr. Ilir Sharka (36 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully read your question and would explain that the fact that your surgical wound is not regenerated could be related to a persistent infection.

The urinary infection could be explained with the urinary catheter, which is used during the intervention to monitor the renal function.

The throat infection could be related to the respiratory tube, used during intubation in surgical patients.

Besides, every intervention and emotional stress imposes patients to low immunity, which can make a person more vulnerable to infections.

The lumps that are forming could be lymph nodes related to inflammation.

I recommend you consulting with your attending physician for a careful physical examination and some tests:

- complete blood count, inflammation tests
- blood bacterial culture
- chest X ray study
- urine analysis
- urine bacterial culture
- bacterial culture from the material taken from the surgical wound.

All these tests are used to determine the cause of infection and make the proper treatment choices (antibiotics) which could be helpful against the infectious agent.

You should discuss with your doctor on the above issues.

Hope to have been of help!

Feel free to ask any other questions whenever you need!

Kind regards,

Dr. Iliri


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (20 minutes later)
All antibiotics have been tried to but infection spreadig . Can
It be sepsis?
doctor
Answered by Dr. Ilir Sharka (4 hours later)
Brief Answer:
A careful diagnostic work up is necessary.

Detailed Answer:
Yes it may be a generalized inflammatory response due to sepsis.

The above recommended tests would coupled wit ha careful physical exam would properly rule in/out that possibility.

It seems that the main source of the persistent inflammation/infection is the sternal wound.

It is important a medical review by a careful physical exam and the above mentioned tests, especially microbiological culture of wound tissue, to confirm mediastinitis which is one of the major complications of cardiac surgery.

Once mediastinitis is confirmed a prompt medical action by surgical wound space revision, debridement of necrotic and infected tissues, washing out with antiseptic solutions and plastic reconstruction of the sternal area would be the right management strategy.

Concomitant combined antibiotics therapy properly guided by antibiogram is of utmost importance as well.

You need to discuss with the attending cardiac surgeon for investigating the above mentioned possibilities.

Let me know how things are going on.

In case of any further uncertainties, feel free to ask me again.

Greetings!

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9545 Questions

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What Causes Throat Infection Post A Bypass Surgery?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I carefully read your question and would explain that the fact that your surgical wound is not regenerated could be related to a persistent infection. The urinary infection could be explained with the urinary catheter, which is used during the intervention to monitor the renal function. The throat infection could be related to the respiratory tube, used during intubation in surgical patients. Besides, every intervention and emotional stress imposes patients to low immunity, which can make a person more vulnerable to infections. The lumps that are forming could be lymph nodes related to inflammation. I recommend you consulting with your attending physician for a careful physical examination and some tests: - complete blood count, inflammation tests - blood bacterial culture - chest X ray study - urine analysis - urine bacterial culture - bacterial culture from the material taken from the surgical wound. All these tests are used to determine the cause of infection and make the proper treatment choices (antibiotics) which could be helpful against the infectious agent. You should discuss with your doctor on the above issues. Hope to have been of help! Feel free to ask any other questions whenever you need! Kind regards, Dr. Iliri