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[Shorty40]

Hi there...I posted a comment on the forum page about 2 days ago and need a reply asap!
Skin Infection - Cellulitis

I recently had an accident on my chin. It was a wound that required stitches. Then I noticed an Infection coming on around the wound. It was red, very painful, Inflammed and so on. I went back to my doctor who in turn gave me anti-biotics that contained penicillin that didnt help it at all, in fact it got worse and spread right around my chin.

So I went for a second opinion to another doctor. he told me it was the skin infection Cellulitis and He immediately gave me an Intravanous in hospital and Clindahexal (clindamycin) and Bactroban topical cream. The clindahexal is a very strong dose (8 a day) at a 12 day course. I saw rapid results from the IV and the healing of the infection slowed down drastically a day or two later.

So I went back and got another IV about a week later and a 3rd one the following day, as it was showing rapid results. (Whilst still taking the anti-biotics and using the cream.) It has now been  2/3 days later after the Intravenous and chin is looking much better but has started spreading by my neck and a little on my chin again.

I went back to the doctor straight away and he said it was a rash caused by the Bactroban Cream and he gave me Dovate Cream to apply on the rash area. He said I should use it on my chin as well and that the infection (Cellulitis) has gone and it is just scar tissue.

What I would like to know is - Is this a rash from Bactroban Cream as it is not continuos spreading down my chin but a healthy skin layer and then the rash?
And after the actual infection (refness, pain etc) is gone, is it just scar tissue on the chin (with a red colour), like if you scraped your knee and it would heal over time but leave a light nut healthy red area?

Please could u get back to me asap
Thanking-You

[AndreaAltgayer]

Hi doctors,

I have alopecia areata, and am being treated by my dermatologist who prescribed Dovate/topical cortisone cream for my bald patches, which I will use until I get my cortisone injections next month.She is on leave at the moment.

I also have grey hairs which I normally dye with henna. I haven't dyed it in over 2 months.Can I use henna hair dye while being treated with Dovate cream?

Regards,

Amdrea Altgayer

[BhumikaMD]

Hi,

This seems to be cellulitis, though nothing can be said with surety without having a look at the lesions.

You need to wash the areas several times with fresh water. Do not use any cosmetic products at the sites.

Apply calamine lotion at the site of the lesions and see if it helps. You could take some oral antihistamine medications like cetrizine or loratadine. You need to maintain a good personal hygiene .

Anti-itch drugs, often antihistamine, may reduce the itch during a flare up of eczema, and the reduced scratching in turn reduces damage and irritation to the skin.

Treatment consists of resting the affected limb or area, cleaning the wound site if present (with debridement of dead tissue if necessary) and treatment with oral antibiotics, except in severe cases, which may require admission and intravenous (IV) therapy.

Do get your blood sugar levels checked to rule out diabetes.

The prognosis with uncomplicated cellulitis is good. Antibiotic regimens are effective in more than 90% of patients.

Some patients may require admission for intravenous antibiotic therapy. Early discharge utilizing parenteral antibiotics on an outpatient basis has been shown to achieve cure of infection and improved patient satisfaction.

The exact time frame for this cannot be specified. It would be best to reconsult with your doctor and get a review clinical examination.

Prophylaxis for recurrent cellulitis may be achieved by treatment with oral penicillin or erythromycin twice daily or intramuscular benzathine penicillin monthly.

It would be best to consult a doctor to find out the cause of your symptoms.

Let us know if you need any other information.

Regards.