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Asking for Self, Male, 35 years old, Lahore
I have a history of recurrent painful swelling and chronic infection in the upper outer left gluteal/buttock region. Initially, a water-ball sized swelling was surgically opened with a plus-sign incision. Due to persistent severe pain in one pocket of the surgical site, a second operation was performed. Later, Kenacort injections were given into the scar tissue without relief. About two years ago, another surgery was done in the same area. Biopsies twice showed “chronic inflammation.” Ultrasound later showed fibrosis. Despite prolonged treatment from multiple doctors and approximately 60 injections of ceftazidime previously, the condition keeps recurring.
Currently, I have severe localized pain, persistent fever and chills, ESR 42, and WBC around 35,000. The scar is externally closed with no discharge, but touching the area causes extreme pain, anxiety, and palpitations. I now have marked weakness and difficulty lifting/moving the left leg, often dragging the foot and requiring a stick for walking. I also have insulin-dependent diabetes, hypertension, hyperlipidemia, and cardiac disease with prior coronary angiography showing plaque buildup.
Ideally you should visit a tertiary hospital for admission and workup. This is likely sepsis that cannot be managed as outpatient. You need a MRI pelvis and spine. also need to send pus cultures and blood cultures.
Patient
Post Owner
He routinely comes up with tests and MRIs. Now he's just confused about the surgery wether it has to be done or not and what will be the chances of success after it?
1 day ago