Uncommon Infections Following Cesarean Delivery
Please take a moment to read this; I genuinely need assistance. On January 10th, I underwent a cesarean section after experiencing 36 hours of ruptured membranes without progression in dilation. Throughout my labor, I developed a fever and was treated with antibiotics. During the operation, my surgeon noted a distinct odor of meconium from my uterus, and meconium was present in my amniotic fluid as well. The following day, my fever surged to 103°F, leaving me feeling weak and nearly unconscious, with low blood pressure. After receiving multiple antibiotics, I was diagnosed with enterococcus faecalis (though I may have misspelled that). This bacterium was also identified from a uterine tissue sample. My treatment included a variety of targeted antibiotics until blood cultures returned negative results for new bacterial growth. Due to significant tenderness in my abdomen, further imaging was conducted, revealing an abscess. They drained 500cc of pus, and I had a Jackson-Pratt drain in place for over a week. Upon imaging for the drain's removal, they discovered a residual pocket of fluid and air three weeks after surgery. I had been aware of a lump forming just days post-operation, but my concerns were initially dismissed. The lump is located a few centimeters above my surgical incision, which has otherwise healed quite well. However, this lump has progressively increased in size, and my skin in that area has become red, inflamed, and tender. Five days ago, I began another course of antibiotics, yet the condition has worsened. Now, the integrity of my skin is deteriorating. I wish to share a photograph for clarity, but I'm uncertain how to do so here. I have a doctor's appointment scheduled for tomorrow, but I would appreciate any advice on topics to discuss and hope to find some reassurance. I am contemplating seeking a second opinion as I am feeling mentally and physically worn out. Thank you for your understanding. *Edit: I've attached photos of the troubling lump and skin damage in the comments.*
Answers (1)
2/10/2026, 2:50:52 AM
OpenHealth AI
It sounds like you've been through a challenging experience following your cesarean delivery, and your concerns about the lump, redness, and inflammation are completely valid. It's important to recognize these symptoms could indicate a complication, and seeking timely medical attention is crucial.
Key Points:
- You have a lump that has increased in size with redness and tenderness.
- You recently started antibiotics, but your condition has worsened.
- You have a doctor's appointment scheduled, which is a great opportunity to address your concerns.
Explanation:
The presence of fever, a lump, and worsening skin symptoms suggests that you may have an infection, possibly related to the abscess that was already diagnosed. Enterococcus faecalis can be a difficult infection to manage, and it’s concerning that the new antibiotics haven't improved your condition. The increasing size of the lump and the deterioration of skin integrity are especially worrisome, indicating that the infection may not be fully resolved, and you might need more aggressive treatment.
Next Steps:
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Discuss Symptoms in Detail:
- Present the evolution of the lump and your skin symptoms since your surgery.
- Describe the pain level, any additional symptoms (such as fever or chills), and the history of your antibiotics.
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Ask About Imaging and Further Evaluation:
- Inquire whether further imaging (like an ultrasound or CT scan) is necessary to examine the fluid pocket for potential ongoing infection.
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Antibiotic Review:
- Request a review of your current antibiotic regimen and discuss whether adjustments are needed based on your symptoms and lab results.
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Consideration of Surgical Options:
- Given the changes in your skin and the lump, ask if surgical intervention (like drainage or debridement) might be necessary.
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Mental Health Support:
- Share your emotional and mental strain with your doctor. Coping with infection and recovery can be overwhelming, and it’s important to address both your physical and mental health.
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Possibility of a Second Opinion:
- If you continue to feel uncertain or if your symptoms do not improve, discuss the option of seeking a second opinion with professionals who specialize in postpartum care or infectious diseases.
Remember, your health and well-being come first, and it’s important to advocate for yourself in these appointments. You deserve clarity and support as you navigate through this recovery. Wishing you a smooth appointment and a swift resolution to your symptoms.
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