Q. My mom has skin infection around his face, neck and ear. Please help.

Answered by
Dr. Jyotisterna Mittal
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 20, 2020

Hello doctor,

My mother is 57 years old and she is a cardiac patient. She is having skin infection around his face, neck, and ear area.

For the past two days she is taking the following medicines for this infection:

1. Surfaz- SN ointment (Clotrimazole, Beclomethasone Dipropionate, and Neomycin sulfate cream).

2. Zenflox- OZ (Ofloxacin and Ornidazole).

3. Allegra 120 mg. Please suggest.

 

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Dr. Jyotisterna Mittal

Cosmetology Dermatology HIV/AIDS Specialist Venereology
#

Hello,

Welcome to icliniq.com.

I have seen the picture. (attachment removed to protect patient identity).

This is herpes zoster. The following medicines are required for this condition.

Tablet Valcivir 1 g thrice daily for seven days, Fusidic acid cream twice daily, and tablet Dolo 650 mg (as required for pain).

Is there any hearing loss or ringing voices inside that side of ear? Any face palsy? (for this you can send front facing a picture of your face with both eyes wide open).


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Thank you doctor,

No, she is not having any hearing loss or ringing voices inside that side of the ear and also no face palsy. Please find the attachment.

Dr. Jyotisterna Mittal

Cosmetology Dermatology HIV/AIDS Specialist Venereology
#

Hello,

Welcome back to icliniq.com.

I have recommended the medicines for her problem already and it is a safe medicine. However, since she is a cardiac patient, it is advisable to take the advice from your cardiologist before starting these medicines.


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Thank you doctor,

My mother has taken the medications recommended by you and she has completed her dosage for 7 days and also applying the cream at the infected area. Although the pain has reduced significantly, still there is a little pain and redness. I am attaching the picture of the current condition of infection around his face area. Kindly advise whether we should further continue the medicine with same dosage and for how long?

Dr. Jyotisterna Mittal

Cosmetology Dermatology HIV/AIDS Specialist Venereology
#

Hello,

Welcome back to icliniq.com.

I have seen the picture. (attachment removed to protect patient identity).

Good to know she is feeling better. Now you can stop taking Valcivir. However, some infection is left on the face and for that, she should continue Fusidic acid cream twice daily for 10 days.

In addition, if the open wounds show any pus or infection, she can start antibiotic like tablet Pulmocef (Cefuroxime Axetil) 500 mg twice daily for five days. It is generally a safe antibiotic. Please give her tablet Dolo 650 (Paracetamol) as per need, for pain.


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Thank you doctor,

The wound has dried and the upper crest after peeling off is leaving red skin behind (there is no blood or pus) and itchy. She is using neem leaves infused with warm water for cleaning the infected area, whether it is safe to use or not?

Dr. Jyotisterna Mittal

Cosmetology Dermatology HIV/AIDS Specialist Venereology
#

Hello,

Welcome back to icliniq.com.

It is fine you can skip oral antibiotics. She can use neem but do not keep it wet for a long time. Just wash with this water and dry off.


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