Persistent Cellulitis Challenges
27 years old, residing in the UK. Since 2022, I’ve been battling recurring cellulitis in my right leg. It seemed to subside for about eighteen months, but in the past seven weeks, the infection has not fully resolved, even after multiple rounds of antibiotics. Here's what treatment I've undergone so far: - **Clarithromycin:** This was effective for me previously. - **Linezolid:** While the redness improved, I still experience notable swelling and discomfort. - **Co-trimoxazole:** This reduced infection markers, yet the redness and flaky skin persisted. I was advised to discontinue this antibiotic. - **Intravenous antibiotics during hospital stays.** - Currently, I am back on Clarithromycin, switching between topical treatments of Fusidic acid and Mupirocin for my leg, which flared up again a week after stopping Co-trimoxazole. I’ve undergone several tests: - **X-ray** - **Doppler scan for the veins** - **CT scan** to exclude any abscesses - I have also been referred for an **MRI** to check for any additional complications. I have consulted with the following departments: - Vascular - Orthopedic - Infectious Diseases To help manage the skin condition, I was prescribed Hydromol for moisturizing, but I have paused its use to focus on the Clarithromycin and the topical antibiotic applications. I’m feeling quite disheartened at this point, as it seems like every avenue has been explored or perhaps something has been overlooked? I'm reaching out in hopes that anyone who has faced a similar situation might share what worked for them? I’ve posted the most recent update in the comments.
Answers (1)
8/28/2025, 6:21:20 AM
OpenHealth AI
It sounds like you’ve been through a lot with your recurring cellulitis and can understandably feel discouraged given the length and complexity of your situation. The key points in your case are the persistence of symptoms despite various treatments and the involvement of multiple specialists. Let's break it down and outline some steps you can take to improve your management of this issue.
Explanation of Your Situation
Cellulitis is a bacterial skin infection that can be challenging to treat, especially when it recurs. The fact that you've had multiple courses of antibiotics and have sought advice from several specialist departments indicates that you are actively managing your health. The combination of swelling, discomfort, and persistent skin issues can be frustrating. Your current treatment regimen with Clarithromycin and topical antibiotics is an ongoing attempt to combat the infection.
Prioritized Next Steps
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Continue the Current Treatment: Stick with Clarithromycin and the topical antibiotics (Fusidic acid or Mupirocin) as advised by your healthcare provider. Complete the full course to ensure the infection is appropriately targeted.
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Regular Skin Care:
- Reintroduce the use of Hydromol, as moisturization can help your skin barrier, potentially reducing irritation and fostering healing. Apply it at least twice daily, especially after washing and before bed.
- Keep the infected area clean and dry to prevent additional complications.
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Monitor Symptoms:
- Keep a detailed diary of any changes in your symptoms, including size of the swollen area, any pain levels, changes in skin appearance, and any other relevant information. This can help your healthcare providers make informed decisions about next steps.
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Identify Triggers:
- Consider factors that may predispose you to recurrent cellulitis (e.g., skin injuries, moisture, diabetes, or lymphatic issues). Addressing these might be crucial for prevention.
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Consult with Your Healthcare Provider:
- Since you’ve seen multiple specialists, ensure that you’re able to communicate any new findings from your symptom diary during your next appointment (especially after the MRI results). Discuss the possibility of long-term preventive antibiotics or referral to an advanced wound care specialist if necessary.
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Explore Holistic Approaches:
- Alongside medical treatment, strategies such as a balanced diet, hydration, and stress management (such as mindfulness or gentle exercise if tolerated) may help your overall wellbeing and immune response.
Don’t hesitate to reach out for support, whether it’s from a counselor, support group, or community resources. Engaging with others who have similar experiences can provide both emotional support and practical advice. Remember, you are not alone in this journey; leaning on your support system can be tremendously helpful.
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