How to treat infections in the nasal passage days after surgery?

Question

Hello doctor,

My nasal passage was cauterized four months ago. Two days later, I began having lots of yellow pus-like discharge from my nose. It was mostly expelled via my throat with sputum. The cauterized site was yellow, and there was yellow pus all over.

I have been prescribed Amoxicillin 625 for seven days, and Cefuroxime 500 for seven days. The cauterized site was still not healed and was still having yellow discharge. I then consulted an ENT doctor who took a look at it and gave me Linezolid 600 for 10 days. The infection of the cauterized site is still not healed and is still oozing with yellow pus-like discharge, although there is slight improvement. I have a low-grade fever on and off.

I feel I may be having an infection in my nose that is resistant to antibiotics. Can you please help me and advise me on how to treat my nasal passage? And also, what other investigations should I do? I am worried about the infection, whether it could harm me as it continues.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

The cauterized site you have mentioned might be infected as you said.

1. The best treatment now in this situation is take a sterile swab and touch the swab with the pus and send it for culture and sensitivity, it will definitely give the medication sensitive for your bacteria.

2. Meanwhile start injectables preferably Ceftazidime 1000 mg and injection Amikacin 500 mg after test doses for five days.

3. Start application of Neosporin ointment on the site.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I think the swab culture and sensitivity are the best options, as you might be resistant to other organisms.

1. I advise you to start injectables as they will remarkably reduce the infection.

2. The injectables I mentioned cover both gram-positive and gram-negative organisms; this itself may cure your disease.

3. One more suggestion is not to prick or self-clean the nose unless the pus is trickling outside. It is not a rare condition and can come to people very frequently.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

I have seen the attached files. You are suffering from an infection, and I think you should start the antibiotics as I have suggested (attachment removed to protect patient identity).

It will subside with the antibiotics and also the T-bact ointment. It is the superficial infection of that specific site, and it is not a very serious condition, and can be cured with those antibiotics themselves, and after that, you can use the T-bact ointment.

Thank you.

Answer 4

Hi,

Welcome back to icliniq.com.

I can see the infection reducing. Do not worry regarding the infection, we have treatment even for MRSA and VRSA and I am sure your infection is not one of them. I can see the infection has reduced compared to yesterday. Please share the culture and sensitivity report when it arrives, and kindly start injectables for the infection.

Thank you.

Answer 5

Hi,

Welcome back to icliniq.com.

Injection Ceftazidime 1000 mg and injection Amikacin 500 mg twice daily for five days intravenous injection by a doctor or a person who can give you the dose after giving proper test doses and you are proved not allergic to the drug .

Thank you.