Discussions By Condition: I cannot get a diagnosis.

Chronic Facial Abcesses!!!!! HELP!

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • October 21, 2009
  • 00:05 AM

Hello,

About three years ago I developed a abcess on my chin and cheek. They grew to about the size of a quarter and filled with puss. I went to the doctor who drained it but could not tell me why I had developed the abcess. I thought this might just be a random occurance and that maybe it would never come back. I thought wrong. Over the course of the past three years I develop GIGANTIC abcesses all over my face. They usually only appear one at a time and will stay there for several weeks. I have gone to SIX different dermatologist and have been prescribed six different leading antibiodics to rid my system of these abcesses. None of the dermatologists have helped me in the least. I go to college full time and I pay for it through modeling, so my face is obviously detrimental to my success. Though most of the dermatologists have drained the abcesses, they all look at my face and are completely baffled. One even said that he would not drain it. I was once cultered to have Clebsiella virus. When I ask the doctors what I can do to prevent these unsightly facial abcesses, they say that I should clean better...which is just ridiculous because I am a very very clean person...I am a model for heavens sake!

In the past few months they have worsened and become more frequent. The first couple of years I would only develop one aout once every 2-3 months and now I get about one every three weeks. My mom gave me a bottle of liquid penicillon to inject into a bump once it begins to show signs that it is an abcess. This worked the first couple of times, but I think my body has become resistant to it. I have this gigantic one to the right of my nose that WILL NOT drain no matter what I do. I have pumped it with penicillon twice and it will not go down and I have punctured it with a very thick hospital needle w/ syringe and no puss whatsoever will come out. I am such a loss of what to do. I have been turned down from jobs because of it and it just looks so awful. If you can provide me any help I would deeply appreciate it. My email is comiske2@unlv.nevada.edu. Thanks!

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  • Hello, About three years ago I developed a abcess on my chin and cheek. They grew to about the size of a quarter and filled with puss. I went to the doctor who drained it but could not tell me why I had developed the abcess. I thought this might just be a random occurance and that maybe it would never come back. I thought wrong. Over the course of the past three years I develop GIGANTIC abcesses all over my face. They usually only appear one at a time and will stay there for several weeks. I have gone to SIX different dermatologist and have been prescribed six different leading antibiodics to rid my system of these abcesses. None of the dermatologists have helped me in the least. I go to college full time and I pay for it through modeling, so my face is obviously detrimental to my success. Though most of the dermatologists have drained the abcesses, they all look at my face and are completely baffled. One even said that he would not drain it. I was once cultered to have Clebsiella virus. HiYou have my sympathy.I work in a medical school and you were lucky to get a culture as hardly any medical schools have practical microbiology classes anymore and the new doctors are not being taught to take cultures.Abcesses are usually caused by Staphylococcus aureus which is the bacterium being callled MRSA when it is resistant to penicillin and other common antibiotics.If they cultured Klebsiella this is unusual but could explain why the antibiotics prescribed did not work properly. Penicilin will not work on a Klebsiella as it is a gram negative bacterium.What you need is a culture taken from an abcess and then have an antibiogram done. This is where they see what antibiotics kill the organism.I have found cases where people are infected with more than one type of bacteria, say a gram negative type and a gram positive type and the two different types of bacteria need totally different types of antibiotics, you may have been killing one type and that allows the other to grow up and vice versa.So see if you can get a lab to take an abcess culture and a blood culture. Then make sure they test the organisms to see what antibiotics it is sensative to. This just guessing which antibiotic to give people is crazy but with modern medical training this sort of thing is going to continue.good luck
    chrismia 159 Replies
    • October 21, 2009
    • 01:55 PM
    • 0
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  • Hi, Did any of the doctors even do a culture/test? I would be shocked if they didn't. Some doctors will perform a culture/biopsy but will send you home with an antibiotic rather than wait for the results with an intent to change the antibiotic when the culture/sensitivy results come back (culture & sensitivity tests are what is done by the lab, it is done over time, shows what organism is growing and which antibiotics would be best to fight the particular organism(s) present). However, most of them are either too busy or just don't bother with the follow through and expect the patient to contact the office to check on the results themselves. If you believe you had a culture done at the time of your office visit I would suggest calling them or stopping by to get a copy of it yourself and make sure that you are put on the antibiotic that is best suited for attacking the organism responsible for your growth. As mentioned by the other posters, MRSA is a serious possibility because it is such a wide spread growing problem in every community right now, it is present just about everywhere, NOT just on cell phones. That is why GOOD hand washing skill is the single most effective way to prevent most transmittable conditions, because we have technology at our finger tips and we all share it with each other. If you believe none of your past visits included a culture test than please make sure you get one, you may be pleasantly surprised and lucky to find out that it is not MRSA and you may just need a particular antibiotic to fight it. Most skin infections are of the staph type and they can be very persistent and many times require a long term low dose daily antibiotic for an extended period of time as a prophylactic treatment to prevent future break outs. Good luck!
    SaharaRN 10 Replies
    • October 21, 2009
    • 10:42 PM
    • 0
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