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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pilonidal Cyst, Fever, Chills, Nausea, Lumbar Area Swollen. L5 S1 Fusion With Hardware, Discectomy Done. On Antibiotics. Advise?

I had a L5 S1 fusion with hardware and discetctomy in September of last year. I suffer from a pilonidal cyst. Yesterday I had a general surgeon lance and pack it. I am on antibiotics. Since the cyst began infected I have been suffering from a bad fever, chills, tiredness, loss of appetite, and nauseous. I have also noticed my lumbar area is really hot and incredibly swollen. Should I be worried? What should I do ?
posted on Sun, 5 May 2013
Twitter Wed, 8 May 2013 Answered on
Twitter Wed, 8 May 2013 Last reviewed on
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Spine Surgeon,  's  Response
Thanks for writing to us.
Pilonidal cyst is usually at the coccyx and the lower end of the sacrum. Fusion is unlikely to get infected due to cyst. Swelling in that area is common due to cyst infection. However I would suggest to treat the infection aggressively and may be with IV antibiotics. Any such infection can cause bactremia and secondary lodging of the bacteria at the implant. Thanks.
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Pilonidal Cyst, Fever, Chills, Nausea, Lumbar Area Swollen. L5 S1 Fusion With Hardware, Discectomy Done. On Antibiotics. Advise?

Thanks for writing to us. Pilonidal cyst is usually at the coccyx and the lower end of the sacrum. Fusion is unlikely to get infected due to cyst. Swelling in that area is common due to cyst infection. However I would suggest to treat the infection aggressively and may be with IV antibiotics. Any such infection can cause bactremia and secondary lodging of the bacteria at the implant. Thanks.