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Infected Left Preauricular Sinus
I am currently under treatment where I cannot visit my doctor in person due to Corona induced lockdown in my city. I had an incision and drainage in 2017 but my PAS again got infected in 2018 which healed with medicines and now again in March 2020.My abcess started to release pus in the 3rd week of treatment.I have been warned about complete excision too.Till then I had been prescribed Dalacin,medodol,Rubrosin D etc. with Fucidin and Betadine ointment with an assurance that the infection should recover by itself. But it is swollen and slightly leaking till now.Currently I am taking Zocef 500mg since last 5 days.Also, I am facing mild pain in my inner ear, eyes,side head apart from the swollen infected area.Now the dr. has told me on chat ,it needs drainage. I am unable to contact him now. I just need help till lockdown opens. Please help me in not getting my inner ear and brain infected due to this.What should I do now? Thanks in advance.
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While the PAS excision is not an emergency, any cellulitis or abscess needs treatment to avoid the adjacent cartilage getting infected. Adding a combination of Ofloxacin and ornidazole (Jonflox-O/ O2), along with an anti-inflammatory medication such as Disperzyme should help. T-Bact (mupirocin) ointment can be used. This should be done in consultation with your local doctor. Close-up images will be of use to accurately determine the current situation.
Next Steps
Send the pus for culture and antibiotic sensitivity.
Health Tips
Any abscess may require incision and drainage if it does not settle down with a change of medications.
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U already have been diagnosed with an infected pre-auricular sinus. Since you have been taking an antibiotic ( Zocef) since 5 days, and your condition has not improved, you will need to change the antibiotic. You can start tab ciplox - tz , one tablet, twice daily for a week. Tab zerodol P one tablet, twice daily for 5 days. Tab Pan -D, one tablet, twice daily for a week. Also appl neosporin powder.
Next Steps
Do remember, the proper treatment for an infected Pre auricular sinus , is complete excision of the sinus, once the I fection settles down.Else, you may keep getting repeated infections and soon you may run out of antibiotics to treat it
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