I had very severe swelling in my scrotum with very bad pain all over my body.I was seen by a urologist and sent to hospital for surgery.Turn out to be staph infection.I was given several days of antibiotics by IV and an open wound to heal from inside out.
About six weeks later a abcess come up on the left cheek of my butt very painfull. It required out patient surgery,open wound and was also staph infection.Ten more days of antibiotics and I thought I was healed,wrong.I sit here with swelling on my upper right leg,just under my scrotum,with the same symptoms of the two previous.Got a 500 mg shot of Kefzol,put me on twice a day Bactrim DS tablets for six weeks,and scheduled a CT scan of my pelvic area.
The Doctors have never said anything about MRSA just said staph infection.Just wanted to see what the folks on this board might think.Thanks,Donnie
Have they ever done a culture? Ask if it is MRSA. Ask how they know the antibiotics they are giving are the right ones.
Meanwhile, you should probably do a ninja-assault style cleaning of your house. Any hard surface, wipe down with bleach. Clothing & bedding, wash in hot water. Dishes, boil or dishwasher. New toothbrush, sponges, razor, etc. You could be reinfecting yourself.
Take this seriously. It can be treated, but you have to be proactive.
They did a culture in both surguries which they said the cultures were staph but did respond to antibiotics.I guess I just don't undestand why it keeps coming back.This time I have been on antibiotics 6 days.The swelling is down and pain has eased off,but I still have a couple of lumps under the skin about the size of a golf ball.I go back to Doctor Monday for follow up.
The staph infection may be "returning" because the antibiotic treatment is not long enough. I had an infection following a bunionectomy and it returned two weeks after I went off the IV antibiotics. The ID Dr started the meds right away when the symptoms returned and kept me on them for 6 weeks this time. Maybe your treatment was too short????
Doctor has me on six weeks of antibiotics now.I am in my forth week.Sure hope it works this time.One problem though,a have developed a pretty bad yeast infection now that the Doctor says is brought on by the antibiotics. So he got me on a cream and tablet of Nazoral 200 mg.When it rains it pours.
Finished my six weeks of antibiotics two weeks ago and woke up Monday morning with a new lump just different area( top of left leg,groin area)I saw my Doctor monday afternoon,He gave me a couple more shots and two more weeks of Bactrim.Does this cycle ever end.
I agree with the thought that the antibiotic treatment isn't long enough. Sorry janewhite, don't mean to be adversarial, but I DO agree that patients can keep re-COLONIZING themselves with a certain strain of MSSA or ca-MRSA, but when you get repeated invasive infections with one of the two, something else is going on that cleaning the house or decolonizing yourself won't fix.
There are a number of possibilities:
#1. Yes, as someone mentioned before, the antibiotic treatment is not long enough. This is especially true for deep seated infections as those which occur in cartilage or bone (i.e. vertebral discitis or osteomyelitis).
#2. The antibiotic which is being used is not appropriate to destroy the bacteria. In Canada, usually less than 10% of our Staphylococcus aureus is resistant to semi-synthentic penicillins (such as oxacillin or cloxacilin), but in the states, in some places up to 40% are resistant!! The cefazolin injection you received will destroy methicillin SENSITIVE staph (MSSA) but it will NOT kill methicillin resistant (MRSA). That is probably why they put you on bactrim (septra in Canada) because that will kill both MSSA and MRSA.
#3. With invasive Staph aureus infections, you must always rule out a reservoir of infection. The reservoir can be inhibited by antibiotics, but as soon as you stop them, the infection comes back. Because you had an infection in your scrotum and then you had an infection on your butt could be an indication that the bacteria entered your bloodstream and then settled in the tissue of your buttock. In this case it is IMPERATIVE to rule out something called bacterial endocarditis. Staph aureus LOVES to grab on to heart valves and stick there forming a reservoir of infection which constantly "seeds" the bloodstream. It can usually be cured with 6 weeks of IV antibiotics depending on how big the valvular vegetation is. Have the doctors done an echocardiogram on you?
#4. Along the same idea as #3, assuming the bacteria didn't enter the bloodstream, if there is a large abscess or dead/necrotic tissue in the areas that were getting infected, they will have to be removed surgically because no amount of antibiotics will penetrate that area.
#5. Another important reservoir of infection is vertebral osteomyelitis which should be ruled out if you are having back pain.
#6. Finally, certain immune deficiencies, i.e. mostly diseases of primary immune system (i.e. neutrophil/macrophage) dysfunction which can result in repeated Staphylococcal infections. I have a feeling this is NOT what is going on in you.
Thanks,Cgranulomatis for your very informative reply.
I return to my family Doctor friday.The lump has shrunk and he wants to keep me on an additional 10 days of antibiotics.The bactrim was making me pretty sick and I have been taking it off and on since Feb.Once for six weeks.He change it this time to Avelox(moxifloxcin) 400mg. Has anyone took this one for staph?
If it comes back after this round I will ask him to recommend me to a ID Doctor.
Thanks to all yall again for your replies,it helps knowing others know what I am going through.