Remicade, Toe Infection, and Antibiotics

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Regular Member

Date Joined Dec 2006
Total Posts : 251
   Posted 7/19/2009 2:15 AM (GMT -6)   
I went to the doctor for an ingrown toe nail. I was told I have an infection. Doc tried to put me on oral antibiotics but I begged her not to. The last time I was on those I was almost hospitalized so she gave me a topical antibiotic. I am to soak my foot three times per day and use the topical ointment. Has anyone been in this type of situation before? What do you think my immune system is lowered anyway because of the Remicade should I just go on the oral antibiotics or do you think I can fight this infection off if I am diligent with the cream and the soaking. I am soaking my foot in Epson Salt and Betadine.
Female, Left-sided colitis diagnosed at age 28 in 2001
Remicade stopped a major flare for me I am now off all meds except the remicade.

Elite Member

Date Joined Mar 2003
Total Posts : 10407
   Posted 7/19/2009 9:37 AM (GMT -6)   
mjw, I just yesterday completed a 10-day course of Keflex. There were a couple of bumpy places, but I made it through without serious problems.

When I first started the abx, I started having cramping and mushy stools within four hours. I then started taking one Imodium with each antibiotic capsule. I doubled up on my probiotics, and went back to my bland, low-residue flare diet. As long as I stayed away from my beloved granola, I did really well, couldn't really tell I was taking abx.

I'd say if the toe gets worse, or if it doesn't start looking better within about three days, go ahead with the abx. You don't want to end up with the infection spreading or the toe necrosing. If Azithromycin (Z-pack) is appropriate for the type of infection you have, that might be a place to start. You only have to take it for five days, so it has less chance to make you sick.

As far as the Remi, I can only tell you my experience. I've had no more frequent infections since starting on it than I had before. This was only the third time I've taken abx in the past 3 1/2 years.

Good luck, and hope you're better soon.
Ulcerative colitis forum co-moderator
Moderate to severe left-sided UC diagnosed 2001.
Flared for 5 years, finally in remission with Remicade since March 2006.
Avascular necrosis in both shoulders is my "forever" gift from steroids.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. 
"My life is an ongoing medical adventure"

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