Why is my wound not healing?
Q: I am 35 years old. There is a sinus track found in my left leg, left lower limb. It was operated and sent for biopsy and the report shows: granulomatous inflammation consistent with tuberculosis. The doctor prescribed AKT4, Benadon, Esoz 40 and Glynase. My wound is not healing. The doctor says the wound must be kept open but I have pain. There is fluid coming out from the wound. Please suggest.
A:Biopsy reports are nearly always reliable, and therefore you must presume you have a tuberculosis infection, or a tuberculosis-like infection. The biopsy can usually not differentiate between TB and TB-like. With AKT4 and dressings you should have become better in about 6 weeks. Remember that TB heals much more slowly than other wounds. The doctor is right: the wound must stay open and heal from below. If he sutures it too early, the sutures will probably break down, or, worse, they will heal and the sinus will recur. Are you sure that the wound is not healing? My suggestion:
- Wait for another four weeks. Keep your wound clean: I believe that dressings should be done at least once a day.
- If you are convinced after another month that there is no healing, consider
- Resistant TB (more likely) or
- TB-like infection (less likely).
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