Hello,
Thank you for posting your query at DoctorSpring.com
I saw the pics.
The infection has subsided.
As the pus has drained, there is no need of Antibiotics.
It's better not to immerse that hand in water.
If redness appears, you can start Antibiotic like Linezolid along with anti inflammatory tablet.
Nothing to worry.
It will come down.
Hope I answered your query. If you have any questions, I will clarify further.
Wish you good health.
Regards
Patient replied :
Hi I am worried my infection came back in under thumb nail it was looking fine but now yellow white pus again under it but I can't get it out. however, it is not painful or red it feels fine. A little pus came out last night when I pushed on it. Should i not be concerned since it doesn't hurt. The only reason I would worry is that the pus that they sampled from my thumb nail came back MRSA Staph and Ecoli. They put me on clindamycin but then off because it is resistant then the infection looked gone so they said no antibtioctics but gave me sulfatrim just incase I took that anyway and had bad adverse reactions to that antibitoic. Thanks
Hello,
Infection might have come back due to inadequate drainage or inadequate dose of antibiotics. I would suggest you to get the pus drained again and start with antibiotics like vancomycin and linezolid at least for 10 days.
Do write back if you have any questions.
Thanks
Patient replied :
Ok thanks. I got a really bad yeast infection from the 4 days I was on clindamycin and it still hasn't gone a way a way so I am skeptical to go back on antibiotics again. Can I drain this myself or can I wait a few days to see if it dissappears? Is there any at home remedies I can do?
Hello,
It is better if the drainage is done under aseptic conditions.
So, your surgeon can drain it for you with some local antibiotic cover.
You can apply Mupirocin ointment locally too, if he feels there is need after the drainage.
Local ointment won't cause any fungal infections.
Hope this was helpful,
Regards.