Hidradenitis suppurativa, bad odors, pain, feber - #10818
Hello, doctor. For about a year now, a ball with pus has been coming out of my armpit that does not heal or close. It causes me a lot of pain, a bad smell and sometimes I get a fever. Over time they have started to appear more in other parts of the body, as if they were infections
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Doctors’ responses
Hello dear Please be advised See probably you are having either furuncle or carbuncle. Both are associated with bacterial infection associated with debilitation and foul smell. You can take following medications Tab Augmentin 625 mg twice a day for 5 days Tab metrogyl 400 mg twice a day for 5 days Ointment fusidic acid 1 percent topically thrice a day for 5 days I hope this lesion heals in 5-7 days. In case of no improvement, Kindly consult general surgeon for incision and drainage That will be the last option Regards
This need urgent medical attention.
It’s a chronic disease, not just a one-time infection. Can lead to abscesses, tracts, and skin damage. Risk of bacterial infection, especially if fever is present.
Don’t take medicine before consulting any physician.
Please visit a nearby physician urgently. Thank you.
Dear Yariela ,
Am really sorry to hear about your kind stand suffering.
Kindly do I&D with Pus culture immediately and go for the sensitive antibiotics from the report.
Keep body hygiene, no tight dress and be on low fat and low sugar diet. You will get long term relief
With regards
Your symptoms suggest a condition called hidradenitis suppurativa, a chronic skin disease that causes painful, pus-filled lumps in areas like the armpits, groin, and buttocks. It can lead to recurrent infections, scarring, and systemic symptoms like fever. Please consult a dermatologist or a general surgeon for proper diagnosis, wound care, and long-term management, possibly including antibiotics or minor surgery.
Hello Yariela This suggests a moderate to severe form of HS, The presence of fever and continuous pus also raises concern for secondary infection or abscess formation
Advise Consult a Dermatologist or Surgeon Immediately You need clinical assessment and possibly culture of the pus
As you have described pus culture is needed as it needs empirical as well strong antibiotics.also u might need incision and drainage of the lesion
Topical clindamycin 1% (apply twice daily) Zinc gluconate supplements (helps reduce inflammation) post meal in afternoon Tab augmentin 625 mg twice daily for 7 days Rest antibiotics can be prescribed or changed post pus culture and sensitivity report
Lifestyle Adjustments Maintain ideal body weight Stop smoking (it worsens HS) Avoid tight clothing, waxing, deodorants with alcohol Keep area clean and dry
Home Remedies (Supportive) Warm compresses
Antibacterial washes (like chlorhexidine or benzoyl peroxide wash)
Turmeric supplements (natural anti-inflammatory)
Avoid shaving or friction in the area
Investigation Pus culture and sensitivity Cbc Lft
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