I have had continual infections in my nose since my rhinoplasty 2 years go. No implants but I did have a few permanent sutures, my doctor has gone in twice since to look for an infecting agent and remove any permanent stitches and found nothing. Pain and redness always in the same area like a zit. I get a small abscess there periodically also it smells bad. Antibiotics never get rid of it completely. I have been on oral and IV antibiotics and anti-fungal. Any ideas on what it could be?
Answer: Chronic Infection After Rhinoplasty I have seen this once before. A patient had a rhinoplasty where a braided permanent suture was used. We had to widely open her nose, remove every single suture, flush it with antibiotic solution and then close. No new infections and her nose looks awesome. Do you know what kind of suture was used. A culture of any of the abscess fluid would also help but if there is still foreign material (which I suspect is the case) in your nose, you have to get 100% of it out. The infection will never clear until that is the case, even if you know the species of bacteria you have with the culture.
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Answer: Chronic Infection After Rhinoplasty I have seen this once before. A patient had a rhinoplasty where a braided permanent suture was used. We had to widely open her nose, remove every single suture, flush it with antibiotic solution and then close. No new infections and her nose looks awesome. Do you know what kind of suture was used. A culture of any of the abscess fluid would also help but if there is still foreign material (which I suspect is the case) in your nose, you have to get 100% of it out. The infection will never clear until that is the case, even if you know the species of bacteria you have with the culture.
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February 1, 2019
Answer: Atypical mycobacteria? Hi,Recalcitrant infections are sometimes caused by atypical mycobacterium. It is likely necessary to biopsy the area and check for this particular organism. Best,
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February 1, 2019
Answer: Atypical mycobacteria? Hi,Recalcitrant infections are sometimes caused by atypical mycobacterium. It is likely necessary to biopsy the area and check for this particular organism. Best,
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February 1, 2019
Answer: Revision Rhinoplasty Hello,
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February 1, 2019
Answer: Revision Rhinoplasty Hello,
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February 1, 2019
Answer: Recurring infection after rhinoplasty What you are going through sounds like a nightmare! It's is important to realize your surgeon is not at fault here and in my experience, I believe you have an extremely slow-growing anaerobic bacteria - likely Clostridium or Fusobacterium. These types of bacteria are found in our tap water, but can infect the tissues. They won't grow on normal aerobic bacterial culture, but require anaerobic culture that grows over many weeks. Thus, you need to see an infectious disease specialist and culture this when you have purulence and then be placed on the appropriate antibiotics, usually for weeks. Best of luck!
Helpful 1 person found this helpful
February 1, 2019
Answer: Recurring infection after rhinoplasty What you are going through sounds like a nightmare! It's is important to realize your surgeon is not at fault here and in my experience, I believe you have an extremely slow-growing anaerobic bacteria - likely Clostridium or Fusobacterium. These types of bacteria are found in our tap water, but can infect the tissues. They won't grow on normal aerobic bacterial culture, but require anaerobic culture that grows over many weeks. Thus, you need to see an infectious disease specialist and culture this when you have purulence and then be placed on the appropriate antibiotics, usually for weeks. Best of luck!
Helpful 1 person found this helpful
February 1, 2019
Answer: Infections after rhinoplasty This seems a very difficult problem for you. The area should be swabbed when it flares up. When it is calm it should be biopsied. The opinion of a dermatologist would be very helpful. If it is due to a permanent suture then probing the wound directly from the outside and exploring it through the skin under magnification should have a good chance of finding it in the base of the wound.
Helpful 1 person found this helpful
February 1, 2019
Answer: Infections after rhinoplasty This seems a very difficult problem for you. The area should be swabbed when it flares up. When it is calm it should be biopsied. The opinion of a dermatologist would be very helpful. If it is due to a permanent suture then probing the wound directly from the outside and exploring it through the skin under magnification should have a good chance of finding it in the base of the wound.
Helpful 1 person found this helpful
