Pt was sent home on PO bactrim x 10 days and to perform dail | Figure 1

Pt was sent home on PO bactrim x 10 days and to perform daily wet to dry DRSG changes. Image #2 wound on day 7 of bactrim. Cellulitis has gone down HOWEVER the wound would not close. A thin crusted layer would develop. Image #3 is what the wound would look like following the daily hibaclens shower. On day #10 of bactrim (the pt’s last dose) the pt had called the surgeon's office to report new onset of severe headache, light sensitivity and had a temp of 103. Surgeon recommended pt go to urgent care/PCPs office for a rapid flu swab because the presenting symptoms correlated w/ flu symptoms. The surgeon did state that they felt that the new onset symptoms were NOT related to wound. The pt was taken to her PCP. Upon arriving to PCP the pt had newly broken out in a full body rash. PCP did a rapid flu/MRSA of the nares and decided to still (even though ABX finished) obtain a culture of the wound and send off to lab. Pt sent home with wound culture vial. Upon removing gauze pt stated wound “had opened and was sloughing away” (image #4) wiped with sterile gauze, noted something shiny and with sterile tweezers a vicrel suture was removed with no resistance. Image #5 wound after spitting suture evacuated. Ingrown hair noted at base of wound and deep sutures also visible. I&D performed in office days later. Knot of suture found/removed and visible sutures removed/new sutures in place. Looks great now!