I made a trip to the ER a few nights ago and was treated for cellulitis on my back. The doctor did an I & D procedure and packed the wound with sterile striping. He told me to leave the dressing alone until Monday (today) and contact a surgeon. He said there is a possibility there could be a lipoma in the infection as well. It could also be scar tissue, as the area of concern is right on top of my rib surgery scar. Well, I don't have insurance and am not prepared to do any type of surgical procedure. The packing came out of the wound when I was redressing it yesterday (had no choice totally saturated). I plan to see my family physician in the morning, but I was wondering how long do infections need the packing? The amount of sterile striping inside was just a little larger than a tic tac. Are lipomas common on scars or is this most likely scar tissue? Will I continue to get infections in this area? What can I do prevent future infections? I seem to be prone to them. Also this infection was present for months before we figured out what it was. It seemed to be contained, but I am having significant pain in my rib cage and shoulder (feels like deep in bone). Is this a sign the infection has entered my blood or surrounding area?
You may need oral antibiotics given the deep pain your are feeling. In post surgical areas with scar tissue it is very important to prevent infections before they spread deeply. You may want to ask your family doc if he/she is comfortable removing the lesion - many fam docs in my area remove lipomas.
I hope that helps
Dr. Mohiba Tareen Tareen Dermatology, Roseville, Minn Castle Connoly's America's Top Cosmetic Dermatologists Adjunct Assistant Professor Univ of MN Dept of Dermatology www.TareenDermatology.com
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