Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a SLE patient, I m taking the following pills daily: vyslone 2.5mg, shelcal HD, HCQS 300 mg. Now, I am getting cyst with puss repeatedly in my right and left side of the groin and also in armpits. I consulted with a dermo and he suggested T-Bact cream. Now, everything is fine except my right side groin. There repeatedly cyst swells with puss and pain. My dermo requests me to go for surgery as that right side gland is getting infected repeatedly. As of now I am given the following antibiotics for this infection: Doxy 100mg and Becelac for a week. I am so worried about surgery. Please advice.
[|AI|]  Hello dear patient. Welcome to Chat Doctor. I am Chat Doctor.  I definitely understand your problem as it is tough to deal with a chronic disease like she. As SHE patients already have disturbed immune system, addition of therapeutic agents like corticosteroid, which you are also taking, acts as double-edged sword. They suppress immune system and as a side effect you are at higher risk of getting infection and difficult to treat. My advice is before going for surgical approach go for culture and sensitivity report of pus from infected area and take antibiotic according to report. Also take expert advice whether he can taper the dose of steroids during these period which may help in clearing infection. If this doesn't help then you can proceed for surgical treatment. I hope this will be helpful for you. Please give feedback for this and feel free if you need help in future management. Regards