Gluteal Sinus

GLUTEAL SINUS [ RIGHT ]... Case study



INTRODUCTION
It is alittle hole or tunnel within the heal the buttock, where one side is open and other side is blocked. Generally open out side of skin and end in side of organ or skin or any body parts.
It occurs within the cleft at the highest of buttocks. it's going to ooze pus and with blood and there could also be filthy odour.

CLINICAL SIGNS
Seen one opening on the skin of the buttock
Pain at the time of standing or sitting
Blood with pus from the affected part
May form abscess with filthy odour along side pus and blood
Swelling
Redness and soreness round the affected part
May be acute or chronic
There could also be low muttering fever for a few days.

MANAGEMENT
Regular washing the affected spare mild soap and clear carefully. Then dispense with CalendulaQ and lastly Calendula ointment for fast recover. keep always dry and avoiding sitting for while .

CASE STUDY
Mr Bhattacharjee,52y,Male from Birbhum
Present complaints [ 03.09.2016 ]
An abscess formed on the proper gluteal region following injection in May, 2015.The abscess was surgically drained in June, but the wound didn't heal up, and a sinus formed at the location .This was again operated under general anaesthesia during a local hospital. After three months of surgery, the abscess reappeared at an equivalent site,for which anti tubercular treatment was given for 6 weeks. But the sinus persisted and now he has stopped all medication excepting local dressing of the wound with antibiotic powder.
Pricking pain at the location , worse sitting for an extended time.
Toothache from cold food and drinks.
Pain at coccygeal region, worse sitting.
Past History
Recurrent shigellosis in childhood
Mumps in childhood
Severe scabies in childhood treated by Modern medicine

Generalities
Chilly, doesn't like fan .
Aversion to chilies
Sweat, especially on trunk and face and far
Desires for salted food, meat, warm food, eggs, raw onion
Thirst, moderate.
Mind, Suppressed anger, keen on seeing rainfall, thunderstorm.

CLINICAL FEATURES
BP- 132/82 mmof hg
Pulse- 70/min
Chest- Clear
Heart- S1>S2 audible(R)
Tongue- clean
Weight- 70kgs

INVESTIGATION
Pus culture revealed Staphylococcus aureus
USG right hip - Incomplete opacified tract medial to right hip , no communication with the hip . The radio-opaque probe shows its distal end almost reaching the left hip region.
First Prescription as on 03/09/2016
PYROGEN 200/2 one dose to be taken on two consecutive days within the morning in empty stomach

As on 05/10/2016
No discharge from the sinus, but pin pricking sensation persists
2nd prescription
No medicines

As on 12/11/2016
Occasional soreness along the scare mark of operation
3rd prescription
Carcinosin 1M one dose in next day morning in empty stomach

As on 12/01/1017
No complaint, no toubles, no induration, no pain.
4th prescription
Carcinosin 10M one single dose in next morning ..
PATIENT WAS CURED

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