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Thread: 14 years, first sore, cellulitis, little progress, suggestions?

  1. #1
    Senior Member medic1's Avatar
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    14 years, first sore, cellulitis, little progress, suggestions?

    Last Wednesday I started using Allard ToeOff Afo's. Was doing skin checks. Everything going well until Saturday. Noticed some redness but nothing major. Saturday night the side of my right foot blistered, broke open. I stopped wearing brace. Continued skin check. MONDAY night I went to ER. Very red, swollen up into ankle. They started me on Dynapen. Tues spiked a fever 101.4. Wednesday . Saw my doc. Shot of rocephin continue Dynapen. Blood work showed some inflammation otherwise good. Thurs. Another shot rocefin continue Dynapen. Temp has been back to normal to slightly elevated. I haven't worn breaces at all, but today noticed my other foot looks like it has a red mark and possibly a blister started in same spot as right foot. I go back today to be checked again. Should I expect to see some improvement yet? And why would a second site start when I am on antibiotics already?

  2. #2
    Cellulitis is unfortunately a fairly common problem in people with SCI...we don't know why. The antibiotic should have prevented the second leg outbreak, but it might not be the right one. Call your provider, or go to the ER. Cellulitis can lead to septicemia, and can cause serious soft tissue damage if untreated.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  3. #3
    i was in the hospital for 4 days a few years ago with cellulitus i had iv antibiotics and pills when i came home cant remember what though but that cellulitus had me down fecer leg burning you could feel the heat coming off it and was red and swelled all up
    to alcohol the cause of-and solution to-all of lifes problems [homer simpson]

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    Senior Member medic1's Avatar
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    Saw provider again today. Changing antibiotic to amoxacillion and started IV antibiotics today. Plus sent to wound care for cleaning wrapping etc. Will have both oral and if antibiotics for next 3 days. Hopefully will get some improvement soon.

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    Senior Member medic1's Avatar
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    So infection cleared up. But I am left with bilateral foot wounds that won't heal. The one on the right is .8cm by .6cm the one on the left is .8cm by .8cm. For a month now they have been debrided every other day, cleaned and rewrapped. They just are not healing. I'm doing high protein, supplementing glutamine, and vitamins and continuing healthy diet and exercise. They have used silver nitrate and have now packed the wounds with medicine. Waiting to get into Frodert in Milwaukee for a second opinion. They are talking surgeon and skin grafts. What options are left.

  6. #6

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    Quote Originally Posted by medic1 View Post
    So infection cleared up. But I am left with bilateral foot wounds that won't heal. The one on the right is .8cm by .6cm the one on the left is .8cm by .8cm. For a month now they have been debrided every other day, cleaned and rewrapped. They just are not healing. I'm doing high protein, supplementing glutamine, and vitamins and continuing healthy diet and exercise. They have used silver nitrate and have now packed the wounds with medicine. Waiting to get into Frodert in Milwaukee for a second opinion. They are talking surgeon and skin grafts. What options are left.
    This is a new device for treating diabetic wounds. Since it was just approved it might take awhile to get into clinics.

    https://www.fda.gov/NewsEvents/Newsr.../ucm590784.htm

    or maybe barometric oxygen therapy?

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    Senior Member lynnifer's Avatar
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    Skin grafts are very old school. They did not work for me at all.

    Have they checked the bone for infection? Cellulitis and fever give it away.
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

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    Senior Member zagam's Avatar
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    Quote Originally Posted by litespeed4 View Post
    maybe barometric oxygen therapy?
    Hyperbaric oxygen therapy?
    Kills anaerobic things.

  9. #9
    Senior Member medic1's Avatar
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    No bone infection, they checked. They started as blisters that opened and were very much just on the surface. The one on the right was healing well. Had started at 1.8 cm and closed to .8cm but has stayed there now. Sunday while the right was being debrided the wound nurse said it looks like it may be down to the connective tissue at this point. Still awaiting word from Frodert. This is incredibly frustrating! Edit: I will be seen tomorrow at 2pm in Milwaukee, so hopefully will get some more information.
    Last edited by medic1; 01-16-2018 at 11:16 AM.

  10. #10
    Senior Member medic1's Avatar
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    Milwaukee has no answers. I am healthy, young-ish, healthy diet, healthy supplements, appropriate activity, wounds are clean. There is no reason for them not to heal. Except they are not. From my understanding wound vac isn't an option because of the position/location. Skin graft not an option because of high failure rate in ambulatory SCI. Has anyone else had the Integra Flowable Matrix used on wounds? I am trying to find more information as to where I could have this procedure done.

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