Understanding Tetanus Risks in Deep Wounds: What You Need to Know
Is the wound from a tetanus injury in an anaerobic state when sutured? Hello, doctor. I am 35 years old. Today, I accidentally cut myself on a rusty paint can lid that had been in a chicken coop for many years. The lid had irregular sharp edges, was very dirty, and had insect dro...
Dr. Ke Fangxu Reply:
The Clostridium tetani is an anaerobic bacterium that can only survive in an oxygen-free environment. It is indeed possible to contract this infection from deeper wounds, which is why the physician administered the tetanus vaccine to prevent infection by Clostridium tetani. As lo...[Read More] Understanding Tetanus Risks in Deep Wounds: What You Need to Know
Can Surgical Scars from Multiple Procedures Be Reduced?
Surgical scar After a car accident, abdominal wall bleeding required surgery, which subsequently led to cellulitis and multiple abscesses that necessitated extensive debridement, resulting in a bulge in the right lower abdomen. The surgeon mentioned that this is due to repeated s...
Dr. Lu Daokuan Reply:
Generally, scars near a wound will absorb partially after 18 months. If you are still unsatisfied, you may seek further consultation.[Read More] Can Surgical Scars from Multiple Procedures Be Reduced?
Tetanus Concerns After Minor Cut: What You Need to Know
Tetanus Issues Doctor, I apologize for bothering you, but I would like to ask you about an incident that occurred while cleaning the bathroom drain on Wednesday night. I accidentally cut my pinky finger. The wound is shallow, but I noticed it about 5 minutes later. I squeezed out...
Dr. Chen Jiaming Reply:
In a home environment, the likelihood of exposure to tetanus bacteria is relatively low. However, even with small wounds, it is important to avoid contact with unclean water to prevent wound infection, delayed healing, and potentially the development of cellulitis. Typical sympto...[Read More] Tetanus Concerns After Minor Cut: What You Need to Know
Cat Bites and Scratches: When to Seek Medical Attention
Cat scratches and bites? Hello, Doctor. This evening, while feeding stray cats near my workplace, I accidentally got bitten on the toe by one of the kittens and then scratched on the palm. However, there were no obvious bite marks or bleeding, and the scratch was very shallow wit...
Dr. Li Zhonghuai Reply:
Hello! Stray cats can be troublesome. It's recommended to get a tetanus shot, and rabies vaccination is also advised, but some hospitals may not have a stock due to not being in an endemic area. Tetanus and rabies are not directly related to your wound infection, so it'...[Read More] Cat Bites and Scratches: When to Seek Medical Attention
Understanding Cellulitis: Symptoms, Risks, and Treatment Options
Cellulitis Hello: Last night, my father needed to get up to urinate, but he couldn't get up no matter how hard he tried, so he called me upstairs. I found that his body temperature was very high and he seemed unwell, which made me suspect that he was experiencing another epi...
Dr. Li Zhonghuai Reply:
Hello! Based on the patient's medical history, it is more likely to be chronic osteomyelitis, which can have recurrent episodes. It is recommended to consult an orthopedic specialist at a major hospital. Take care! Changhua Hospital cares about you![Read More] Understanding Cellulitis: Symptoms, Risks, and Treatment Options
Understanding Wound Healing: When to Seek Medical Attention
Wound healing issues About three days ago, I fell on the escalator at the MRT station and my knee hit the steps, resulting in a wound. I went to a small clinic that night, and the doctor said the wound was a bit deep and exposed fat. The next day, I went to a larger hospital to s...
Dr. Li Zhonghuai Reply:
Hello! "During the dressing change, it was noted that the left edge of the wound appeared black": this indicates necrotic tissue. If there is cellulitis, debridement is necessary; if there is no cellulitis, it can be allowed to dry and fall off on its own. "After r...[Read More] Understanding Wound Healing: When to Seek Medical Attention
Understanding Wound Care: Risks of Using Expired Saline Solution
Wound cleaning concerns? Hello, doctor. Recently, I had a small abrasion on my hand and used a saline solution that I opened 1 to 2 months ago for disinfection. I later found out that opened saline solutions can pose an infection risk. I would like to ask the doctor: 1. Is it lik...
Dr. Ke Fangxu Reply:
1. In the worst-case scenario, this is indeed a possibility, but it is not that easy to occur unless the patient has some underlying issues with their immune system. 2. If the wound continues to not heal or if there is redness, swelling, heat, or pain, it is advisable to have a p...[Read More] Understanding Wound Care: Risks of Using Expired Saline Solution
Thorn Injury to Thumb and Palm: Is There a Risk of Tetanus or Cellulitis?
The joints of the thumb and palm have been punctured, the wound has scabbed over, but there is still nearby throbbing pain? Hello Doctor: Three days ago, I was punctured by the metal frame of a water bottle on the joint of my thumb and palm, specifically on the palm side. The wou...
Dr. Li Zhonghuai Reply:
Hello! "Three days ago, I was punctured by a metal frame of a water bottle." It has been three days, and there are no signs of tetanus. However, there is cellulitis present. It is advisable to see a surgeon to clean the wound, apply antibiotic ointment, and avoid contac...[Read More] Thorn Injury to Thumb and Palm: Is There a Risk of Tetanus or Cellulitis?
Understanding Recurrence of Cellulitis After Treatment in Children
Does cellulitis recur? Hello, a child's thumb developed cellulitis due to paronychia and required 20 days of hospitalization for treatment. After discharge, the child took antibiotics and applied ointment for one week, and the wound healed normally. However, two weeks later,...
Dr. Li Zhonghuai Reply:
Hello! It's abnormal; I recommend returning for further evaluation. Please do not attempt to self-administer injections. Take care! Changhua Hospital cares about you![Read More] Understanding Recurrence of Cellulitis After Treatment in Children
Pregnancy Concerns After Multiple Failed Spine Surgeries: What to Know
I have undergone two surgeries on the lumbar spine at L4-5 and S1, but they have still been unsuccessful. Is it possible for me to become pregnant? Dear Dr. Lai, Hello! Thank you for your hard work. I am the patient who previously visited your clinic; I had a failed lumbar spine...
Dr. Lai Zhaokang Reply:
Hello: Sorry for the late reply, I've been busy. 1. Is my body able to handle this? I suggest you first consult with an obstetrician-gynecologist to confirm the presence of the embryo. If it is confirmed, I recommend you: "Be strong as a mother." First, take care o...[Read More] Pregnancy Concerns After Multiple Failed Spine Surgeries: What to Know
Managing Cellulitis Caused by Mycobacterium: A Patient's Journey
Cellulitis - Mycobacterial Infection Hello Doctor, In July 2016, I accidentally sustained a puncture wound to the dorsum of my foot from a sewing scissors that fell off a table. I went directly to a clinic for treatment. The wound healed in about a week, but for the next two mon...
Dr. Li Zhonghuai Reply:
Hello! You have been on treatment for five months now. It is recommended to continue until the six-month mark, as switching to second-line medications may reduce their effectiveness. Additionally, developing drug resistance or a recurrence of tuberculosis can be quite troublesome...[Read More] Managing Cellulitis Caused by Mycobacterium: A Patient's Journey
Understanding Cellulitis: Symptoms, Treatment, and Next Steps
Cellulitis Hello Dr. Li, I have developed lesions resembling folliculitis near the groin area at the top of my thigh, accompanied by symptoms of redness, swelling, heat, and pain. I was later diagnosed with cellulitis at a nearby hospital, where I underwent debridement and had a ...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to be hospitalized for antibiotic treatment. A ruptured sebaceous cyst combined with an abscess and cellulitis may require debridement 2 to 3 times before healing. Wishing you well! Changhua Hospital cares about you![Read More] Understanding Cellulitis: Symptoms, Treatment, and Next Steps
Managing a Ruptured Cyst: Home Care Tips and Infection Prevention
Ruptured sebaceous cyst with suppuration? Hello Doctor: I have a small sebaceous cyst on the inner thigh close to the groin, which suddenly became very large and painful three days ago. The surrounding skin has also become red and swollen. Yesterday, it ruptured and released a lo...
Dr. Chen Jiaming Reply:
A sebaceous cyst may rupture, typically due to a bacterial infection, resulting in the drainage of pus (which can be managed through incision and drainage). Careful attention to the wound is necessary to avoid exposure to water. In the days leading up to each dressing change, you...[Read More] Managing a Ruptured Cyst: Home Care Tips and Infection Prevention
Understanding Post-Accident Recovery: Managing Swelling and Wound Care
One month after the car accident? Hello Doctor: Since the car accident on March 15, my injury has not healed (I have been using artificial skin) and I am still experiencing fluid drainage. The wound is located above the prominent bone on my left ankle (there is a black spot in th...
Dr. Li Zhonghuai Reply:
Hello! If there is necrosis, debridement is necessary. Do not use artificial skin yet, as it may damage the periosteum and risk developing osteomyelitis. The effectiveness of Lifup is relatively poor, so consider switching to other ointments. There will be some degree of pigmenta...[Read More] Understanding Post-Accident Recovery: Managing Swelling and Wound Care
Managing Facial Swelling After Dental Treatment: When to Seek Further Care
Treatment of cellulitis following dental caries? I noticed facial swelling the day after my dental appointment (March 3). When I returned to the dentist, they advised me to see an internist. After visiting a clinic, the internist prescribed me aminophylline, prednisolone, and dic...
Dr. Ke Fangxu Reply:
I also find this prescription a bit strange. The combination of two anti-inflammatory pain relievers along with a steroid and a bronchodilator does not seem typical for treating cellulitis. If there is a bacterial infection, steroids should generally be avoided. I recommend that ...[Read More] Managing Facial Swelling After Dental Treatment: When to Seek Further Care
Do Black Scabs and Necrotic Tissue Require Debridement After Cellulitis?
Cellulitis In mid-January of this year, my mother experienced severe swelling due to cellulitis, and the doctor performed a fasciotomy for drainage. There are two wounds: one is approximately 20 cm long, and the other is about 15 cm long. The wounds are quite large, but she has b...
Dr. Li Zhonghuai Reply:
Hello! My mother has necrotizing fasciitis, which is life-threatening. Aggressive debridement is the treatment guideline. As for whether to close the wound afterward, each physician has their own approach. Allowing the wound to heal by secondary intention is the safest method, bu...[Read More] Do Black Scabs and Necrotic Tissue Require Debridement After Cellulitis?
Understanding Foot Pain: Is It Cellulitis or Something Else?
Abnormal inflammation of the toes at the front of the left foot? Hello, last week a cold front hit, and I developed small cracks between my toes. I didn't pay much attention to it, but around Tuesday or Wednesday at work, I suddenly felt sharp pain in the front of my left fo...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to consult a general surgeon. Please avoid exposing the wound to tap water for now. Blood tests for localized cellulitis are mostly normal. Take care! Changhua Hospital is concerned about you![Read More] Understanding Foot Pain: Is It Cellulitis or Something Else?
Post-Cellulitis Wound Healing: Addressing Knee Discomfort and Concerns
Issues After Wound Healing from Cellulitis Hello, doctor. Previously, after falling on my knee, the wound was diagnosed as cellulitis by doctors at another hospital. The wound has since healed, and the outpatient clinic said I do not need to return for follow-up. However, recentl...
Dr. Li Zhonghuai Reply:
Hello! If you're feeling uneasy, you can get an X-ray. If the joints are fine, it’s just a simple wound issue. After the wound heals, it may feel hard for about a year. The pain can sometimes last for up to six months! Take care! Changhua Hospital cares about you![Read More] Post-Cellulitis Wound Healing: Addressing Knee Discomfort and Concerns
Is It Cellulitis? Understanding Symptoms and Treatment Options
Is this condition cellulitis? How should I manage it? Hello, doctor. Twelve days ago (December 28, 2017), I fell while walking my dog and scraped my knee (the wound is approximately the size of a young woman's index and middle fingers). I cleaned the wound with hydrogen pero...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to avoid using artificial skin for now and to use paraffin gauze instead. Please do not come into contact with tap water. Take care! Changhua Hospital cares about you![Read More] Is It Cellulitis? Understanding Symptoms and Treatment Options
Minor Cat Scratch: Do You Need to Worry About Rabies?
Minor wound caused by a wild cat scratch? I apologize for the inconvenience, but on December 21st in Yongkang, Tainan (a similar area to an industrial zone), I accidentally got scratched by a stray kitten. The wound is the size of a capillary, and the bleeding was also minimal. B...
Dr. Li Zhonghuai Reply:
Hello! If it has been 4 days without any issues, there is no need to worry about rabies. However, be cautious about the wounds from cat or dog bites, as they can become infected and lead to cellulitis. Stay safe! Changhua Hospital cares about you![Read More] Minor Cat Scratch: Do You Need to Worry About Rabies?