<a href=showthread.php?s=&postid=13538793#post13538793 target=_blank>Originally posted</a> by Capt_Cully
Capn, glad to see you made it thru. What your post does not mention is that Streptococcus and Staphylococcus are present on the skin all the time. It is present as normal flora, along with a myriad of other bacteria. Thru a system of checks and balances by your immune system, infection is not an issue. When you get a Strep or Staph cellulitis it is what is called an opportunistic infection.
When a cut is introduced, some bacteria can get in there. Thourough hand washing will clean it out, hopefully. If enough bacteria has entered the wound site, it will proliferate uncontrollably. It is seizing the opportunity to multiply beyond it's normal numbers. The other flora that normally keeps it in check is not around to do so. Next thing you know.....infection of the skin=cellulitis. If untreated, some can be very aggressive as you have demonstrated. A combination of bacteria and immune cells=abcess/pus filled pocket. If things have progressed this far, it may be likely that it needs to be surgically debrided, or treated aggressively with IV antibiotics.
I'm just bringing all of this up because it seems unlikely to me that your Strep or Staph infection came from the fish tank. It's likely that the insult to the skin allowed the perfect environment for an opportunistic infection. Gram positive cocci, like these, LOVE a warm, damp, dark place to set up shop. I'm not sure gloves would have saved you on this one is the point I'm trying to make...I guess.....
Best you can do is a THOUROUGH inspection of any cuts sustained in the tank or rocks or dirty equipment. THOUROUGH hand washing and cleaning of the wound in a timely fashion is paramount. I'm not saying you didn't, because sometimes you can do everything right and still wind up with an infection. I suspect the type of Strep or Staph cultured from that wound was one of the more aggressive strains. Beta Hemolytic Group B perhaps or MSSA, or if the antibiotics were something called TMP/SMX, Zyvoxx, or Vancomycin, you may have been tusseling with MRSA.
Lastly, people who are currently under medical treatment for something as serious as cancer are usually on some radiation or chemotherapy regimens that leave their immune system tattered and on its heals. This is rendering them immunocompromised and therefore more succeptible to opportunistic infection.
I'm very glad you got out of the spiral of this infection before it became blood borne and potentially causing a life threatening condition called septicemia. Though Gram negative septicemia is much more life threatening, gram positive is nothing to sneaze at!
I think your post is right on in that we need to be careful with our hands!!! Clean your wounds THOUROUGHLY!!!! If something doesn't look right, or feel right, it is NEVER a bad idea to seek professional medical attention. You cannot put a price on your own health!!!!
Best wishes to all!
p.s. Capn, did you get a wound culture result on the culprit?