HomeAnswersGeneral MedicinecellulitisWhy does my mother have a skin infection associated with swelling on the neck?

Is a skin infection in a diabetic be treated with medications or surgery?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 30, 2022
Reviewed AtJuly 1, 2022

Patient's Query

Hello doctor,

My 68-year-old mother has a skin infection and swelling on the neck, for which she has undergone some tests. I am attaching the reports. Kindly let me know if the reports are normal or is there something to worry about?

Thank you.

Hello,

Welcome to icliniq.com.

Thank you for your question. I understand your concern. I have gone through the reports you have attached (attachments removed to protect the patient's identity). The blood reports show that hemoglobin is slightly low. The urine report shows trace sugar. So, we have to rule out diabetes.

I hope this helps.

Kindly revert in case of further doubts.

Thank you.

Patient's Query

Hello doctor,

Thank you for the answer.

Can we go ahead with wide local excision surgery to remove an abscess in the neck? What does an ESR value of 70 after one hour mean? Also, is trace sugar worrisome? Is the swelling due to cellulitis? As the RBS value is 138 mg/dL, can tablets help resolve the condition, or is surgery necessary? Also, why are antibiotics like tablet Zifi CV 200 mg not responding even after taking them for ten days? Which approach is better, incision and drainage, or a wide local excision in terms of healing and recurrence?

Kindly advise.

Hello,

Welcome back to icliniq.com.

I understand your concern. ESR (erythrocyte sedimentation rate) is high because of inflammation and infection. The type of surgery depends on the clinical examination. I suggest you consult a surgeon for more details. However, surgery is needed because the condition is not improving with antibiotics. For diabetes, I suggest getting an HbA1c (glycated hemoglobin test) done. If it is normal, there is no need to worry about trace sugar in the urine.

I hope this helps.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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