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compound nevus?

Sent to Health Experts July 21 2006 at 9:38 AM
   

A dermitologist did a biopsy of a small growth in my groin area quite a while back and diagnosed compound nevus. Within 3 or 4 months the thing returned,occaisionally feeling irratated. Several months later the site became like a pimple or small boil,developing a head i eventually sqeezed out. Now it looks like an infected sweat gland or hair folicle,although very minor.As time goes by it gets slightly larger and slightly irratated.Looks like an open pore w/like a plug in it. Local family Dr. is treating for infected folicle or sweat gland. Can you give me more insight whats going on after 2 weeks of antibiotics there is no change one way or other. Thanks

 

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Male , Age: 45

Customer (name blocked for privacy)
Answer
July 22 2006 at 6:49 AM (21 hours and 10 minutes and 52 seconds later)
         
REPLIEDCheck Mark
What medicine is your MD treating you with?
Reply
July 22 2006 at 7:21 AM (32 minutes and 42 seconds later)
         
Reply to ERnurseToni's Post: cephalexin
Answer
July 22 2006 at 7:29 AM (7 minutes and 8 seconds later)
         
REPLIEDCheck Mark
AHA! Most of these deep skin infections such as hair follicles, infected glands, abscess, etc are mostly MRSA type bacteria. Even though cephalexin/Keflex is for skin infections, it has not been proven in research to be effective AT ALL! The best is actually one of the cheapest, sulfa drug called BACTRIM DS. Also, tetracycline and/or doxy are good if allergy to sulfa drugs. Your MD needs to change your antibiotic. That is why you are not getting any better. Can't put out a fire with sand...you must have water! Same here. You can't treat one type a bacteria with a medicine that treats a different type.
This is a common error with this! I have seen many MDs use this antibiotic and I don't know why. Good luck and get another antibiotic! WARM MOIST COMPRESSES will ease comfort.
Reply
July 22 2006 at 7:45 AM (16 minutes and 6 seconds later)
         
Reply to ERnurseToni's Post: You didn't read deeply enough into the Q. At this point no pus seems to be produced at the sight.It pretty much looks like an open pore w/a plug in it.And biopsy,a yr and a half ago showed compound nevus at the exact location where this bump is.How might the compound nevus be figuring into this,also when biopsy was done the blemish,was not on the surface.Rather it was just under skin surface.
Answer
July 22 2006 at 7:55 AM (10 minutes and 19 seconds later)
         
REPLIEDCheck Mark
Let me see if I can explain...You can get stabbed with a pencil lead in, lets say, the forearm. FIVE YEARS LATER, all of the sudden, develop a lesion/bump (like what you have had). THIS IS BECAUSE....Your body, in particular, your "crime fighting" cells, recognize that something different is here. Then, they all gang up (like a high school fight with so many ppl surrounding) and isolate what they recognize to be foreign. (in the example, it would be pencil lead; in the biopsy of the compound nevus~ it could be part of skin left, some bacteria introduce when a sterile field was broken, etc. Then they fight. It is important to let all drain out.

Didn't you say you squeezed the "pus" out? The deep whole is from the cells isolating that foreign infection, etc. That is why it is called a DEEP CLOSED SKIN WOUND. In addition, abscess are not on the surface of the skin.

You need an MRSA defensive abx! Please, please contact your local care provider for that!
Reply
July 22 2006 at 10:38 AM (2 hours and 42 minutes and 49 seconds later)
         
Reply to ERnurseToni's Post: Toni ,Thanks yes I did say there was some pus when what appeared to be an infection came up at the sight of the "compound nevus". But since innitially sqeezing that out and later getting antibiotics, the area now looks as descibed.Since I don' have insurance I'm hoping my DR. can do MRSA defensive abx -whatever that is -in his office..........Thanks,Bill

Edited by Customer (name blocked for privacy) on July 22 2006 at 10:53 AM
Answer
July 22 2006 at 6:59 PM (8 hours and 21 minutes and 12 seconds later)
         
ACCEPTEDCheck Mark
Those three drugs mentioned above, Bactrim DS (best), Tetracycline, and doxycline are three of the CHEAPEST available. I know here in Mississippi, Bactrim cost 7.49 and that is tax included! Good luck to you! I hope you feel lots better!
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