Suggest Treatment For Cellulitis

Posted on Fri, 23 Jan 2015

Question: Hello my bro in law has copd and kiddiy and heart and had one toe temoved and now his toe next to the big roe is looking bad and now he has red spots on his leg and cheasr and his leg are swollen look like they your strangold marks just anserwd my question i think but what do i do his o2 stats 82 71

Answered by Dr. Rakesh Madhyastha (55 minutes later)

Brief Answer:
Cellulitis

Detailed Answer:
Hello

Thanks for the query

From the description you have given me it looks like your brother in law has cellulitis of the leg.
Here is what you should do

1. He has to be treated with antibiotics. I treat my patients with Augmentin three times a day along with clindamycin twice a day. It gives good results
2. Keep the leg dry at all times
3. Cleaning the wound with Betadine with a clean gauze piece and applying Mupirocin ointment once a day will help
4. Please approach a surgeon soon for investigation and treatment

The o2 status is very low, I recommend that he is on night time oxygen. Ask your GP for a o2 machine, in our country it can be either bough or rented.

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rakesh Madhyastha (38 minutes later)

i think he has mersa cause his ntoes are really look bad ans it keep getting biger and yeaking i think its to the bone

mersa maybe now what i thuink i can see the bone

Answered by Dr. Rakesh Madhyastha (23 hours later)

Brief Answer:
Will need IV antibiotics

Detailed Answer:
Hello

Thanks for getting back, I am sorry for the short delay in my response, I was on call at my hospital.

MERSA is a good possibility, especially if you are able to see the bone. I strongly recommend that he is followed up by a good surgeon for this. The best response to this with be with culture senstivie antibiotics given for atleast 7 days. Some patients would even require amputation depending on how bad the wound is

I hope I was of help

Regards

Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar