Reccurent Inflammatory Nodules & Infection

Injeções

Palavras-chave:

Jawline (non-surgical), Preenchedores: Ácido Hialurônico (HA)

Descrição do paciente

Pt referred to me

71-year-old female 

Medical Hx: Hyperthyroidism, High cholesterol, Lung Cancer

Medications: Keytruda 25mg/ml IV, Armour Thyroid 90mg, Minoxidil 2.5mg, Prilosec 10mg, Rosuvastatin 20mg, Xanax .25mg, cortisone back injections, recent history of oral hydrocortisone.

Allergies: NKDA

Surgeries: Heart Stent 2022

10/2/25 1mL Volux on each side of the jawline

Descrição do caso

3 weeks after injection -> Mildly painful bump on jawline 10/23/25 30 units Hylenex

Erythematous large fluctuant nodule 11/3/25 red drainage after I &D (near facial artery), culture sent , Doxy 100 BID x 1 week

Multiple hard non-fluctuant nodules 11/6/26 & 11/11/25 450 units of Hylenex - Culture negative

Recurrent smaller nodules along the jawline 11/21/25 .2cc 10mg/cc Kenalog mixed with 450 units of Hylenex

Minimal nodules remaining under the jawline 11/25/25 450 units Hylenex, resolved



12/23/25 Presented with recurrent swelling a few days after double dose of keytruda and cortisone injection for back pain

I & D done -> copious amount of yellow opaque drainage, I sent 2nd culture for PCR 

Placed on Clarithromycin for suspected biofilm

PCR positive for cutibacterium acnes


12/31/25

Recurrent erythematous fluctuant nodule adjacent to a non-fluctuant non-erythematous nodule

Copious yellow drainage from fluctuant lesion, cleansed with hypochlorous acid wash

Changed antibiotic back to doxycycline 100 BID after discussing with ID

300 units of Hylenex with .4 5-FU injected after drainage to remove any remaining HA and decrease bacterial proliferation inside the 2 nodules

Patient with history of PCN allergy but reports taking Amox once without issue. 


Questions: Anyone with experience treating resistant infection/biofilm in immunosuppressed patient?

Any addition to treatment above - if not significantly better next week I plan to add Augmentin  and fluconazole PRN x 6 weeks.

All advice and thoughts are welcome.

The st photo below was original presentation on 11.3.25, 2nd photo resolution, 3rd photo recurrence 12/30/25



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Posted on janeiro 1º, 2026 21:18

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Posted on janeiro 2º, 2026 03:41 Editado em janeiro 2º, 2026 04:46

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Posted on janeiro 2º, 2026 02:02

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Posted on janeiro 2º, 2026 04:42

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Posted on janeiro 2º, 2026 17:15

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Posted on janeiro 3º, 2026 02:32

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Posted on janeiro 3º, 2026 05:44

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