kindly consult me on practo

The fact this is going on for more than 6 weeks, would suggest either this is a ‘multiple- antibiotic resistant’ bacterial infection or an ‘atypical infection like TB or Fungal infection’. Do the following, 1. Sample from abscess for Microscopy, culture and sensitivity 2. Sample from abscess for AFB smear and TB culture 3. Blood tests: D-glucan 4. Hold off all antibiotics and wait for results. If you develop high fever or signs of sepsis, then attend your local hospital. All the best. J G S R clinic

All your reports suggest Suppurative  Lymph node of infective origin. Antibiotics is treatment of choice. As you have undergone full antibiotics course, without relief it suggests that the source of infection is persistent at site drained by lymph node. Most probably the source of infection is in and around mouth. Surgical treatment of lymph node and persistent source of infection is treatment of choice.

Your reports suggest infective (suppurative) lymph node. Since it has formed an abscess and is not responding to antibiotics, surgical drainage and culture are needed. Please consult a surgeon/physician urgently for further management.

Please consult a  gen surgeon physically.

Stop all the antibiotics and it requires a surgical procure call incision and drainage, followed by pus culture and tissue culture , then followed by appropriate antibiotics, if culture is inconclusive then we will have to excise the lymph node

Removal of lymphnode enlargement  by general surgeon.  As u had taken  all treatment.

You are dealing with a persistent suppurative (pus-forming) lymphadenitis that has now progressed to abscess formation with drainage despite multiple rounds of broad-spectrum antibiotics (oral + IV) over weeks. This is not resolving as expected, which is concerning and needs urgent re-evaluation. Key points from your history & tests: • Histopathology: suppurative (pus) lymphadenitis — indicates bacterial or atypical infection • Negative Mantoux, TB PCR, GeneXpert → TB is extremely unlikely • Reactive nodes on USG → no malignancy or deep structural issue • High total WBC + high CRP → ongoing active infection/inflammation • No response to Piperacillin-tazobactam (IV), Levofloxacin, Ciprofloxacin+Ornidazole, Linezolid → suggests either: • Resistant bacteria (MRSA, atypical mycobacteria, anaerobes, or gram-negative) • Inadequate drainage (antibiotics alone cannot cure an abscess) • Possible fungal or non-infectious cause (rare but possible) The abscess formation + drainage means antibiotics alone are not enough anymore — pus collection needs proper surgical intervention to heal.

Is it tender?! USG abd and pelvis?!

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Go to a surgeon , check the drainge fluid PCR done.

You need to drain it...and do culture test... Consult for better and further management

Pls consult back your surgeon for physical examination

Consult to General Surgeon

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need some more details kindly consult

Need a few more details please consult for further evaluation and treatment