Right Axillary Abscess

Question

My cousin has been experiencing a growing painful swelling in her armpit for about a month. A recent ultrasound revealed a right axillary abscess. A few enlarged lymph nodes were also seen in the right axilla with the measuring 6mm. However no abnormal vascularity is seen in ultrasound. The swelling is 2.7cm deep to skins surface. Doctor advised her for surgery. We are concerned about increasing pain and swelling. Could you please explain what are the recommend treatment plan or surgery is the last option ? Are there any specific concerns or complications we should be aware of ?

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Prof. Dr. Ahmad Raza · Answer

Please visit a General Surgeon urgently

Dr. Muhammad Shahzeb Asghar · Answer

The patient needs incision and drainage of pus. please see a general surgeon.

Dr. Muhammad Nauman Ashraf · Answer

it needs surgical intervention most likely incision and drainge or USG guided aspiration under antibiotic cover ...... so do timely consult a general surgeon

Dr. Sadaf Shehzadi · Answer

need incision and drainage

Dr. Iqra Khalid · Answer

Needs surgery

Dr. Zahid Rasheed · Answer

in clinic assessment is important. however as per knfo available surgery seems to be the answer.
complications may be the cellulitis etc

Dr. Azhar Alam · Answer

needs An assessment by a surgeon

Dr. Azhar Alam · Answer

Needs an assessment by Surgeon

Dr. Mian Shabbir Ahmad · Answer

need I'd after consultation with surgeon

Dr. Hamid Ur Rehman · Answer

Any history of TB in history?

Asst. Prof. Dr. Junaid Zaman · Answer

she  will require surgery if no history of tb. don't waste time abscess (have a tendency to spread a path of least resistance) it can spread inwards or worst can change to necrotising fascitis. So surgery send pus sample for culture and start relevant antibiotics

Dr. Nasir Mumtaz · Answer

Ultrasound guided aspiration. Pus CS  test. Antibiotic according to Cs report

Dr. Ijaz Siddique · Answer

Patient need incision and drainage. Visit nearby surgeon

Dr. Syeda Hira Shah · Answer

first u took an antibiotic cover and painkillers for the last 5 days
repeat USG swelling
If the swelling not improved then the definite option will surgery

Dr. Aftab Ahmad Soomro · Answer

if swelling alreadt bursted then  send a swab culture and give antibiotics according to results.If no better to go for incission drainage and send pus for c/s and take lymph nodes biopsy.

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