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Topic: PICC LINE/MRSA/CELLULITIS

Forum: Lymphedema — Risks, tips for prevention, and info about products that can address the symptoms of lymphedema.

Posted on: Jun 29, 2020 10:00PM

Katiejane wrote:

Has anyone had a PICC LINE placed in for IV administration of antibiotics? It will be placed inmy non-LE arm but I am concerned as the LE fluid does travel around my upper back to my non LE side. I woke up a few days ago with a raging case of cellulitis in my arm which has been diagnosed as MRSA. This is my 6th case of cellulitis but it has never been MRSA. Any input, opinions, or personal experiences that you would be willing to share are more than appreciated!

Thank you! Katiejane

Dx 6/13/2007 Dx 6/13/2007, ILC, Stage IIA, Grade 3, 3/28 nodes, ER+/PR+, HER2-
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Jun 30, 2020 08:50AM flashlight wrote:

Hi Katiejane, I'm sorry this is happening to you. My daughter had MRSA on her face. From now on you have to list it on your medical record. I was just diagnosed with lymphedema that travels around my upper back/neck. I understand your concern. The antibiotics you are getting are stronger and hard on your veins so the picc line is the way to go. One of the side effects of the antibiotic is diarrhea. Ask your doctor about a prescription strength probiotic and eat yogurt a couple times a day. Good luck to you.

Dx 11/15/2018, IDC, Left, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 11/26/2018 Lumpectomy: Left; Lymph node removal: Sentinel Radiation Therapy 1/27/2019 Whole-breast: Breast, Lymph nodes Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Jun 30, 2020 03:29PM Katiejane wrote:

Thanks for responding flashlight! I know you are correct regarding the PICC-there really is no other choice! I am just very concerned because the line will be placed where it will be so close to where my lymph fluid migrates to. I don’t want to cause my left arm to become like my right.

I am already on a probiotic so hopefully that will keep things balanced in my GI tract. So now I will have another thing to add to my medical history!! UGH!!

Thanks again!! Katiejane

Dx 6/13/2007 Dx 6/13/2007, ILC, Stage IIA, Grade 3, 3/28 nodes, ER+/PR+, HER2-
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Jun 30, 2020 11:10PM - edited Jun 30, 2020 11:10PM by MinusTwo

KaieJane - are you having any other treatments currently? Really, a port is a better choice if it's you need regular infusions.

Edited to say - a port line would save you from using your arm (s)

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Jul 1, 2020 09:41AM sbelizabeth wrote:

I had cellulitis many times, always beginning in the skin of my chest. Sometimes it would migrate to my LE arm but usually it would just crawl in bigger and bigger concentric areas of my chest. I believe a port flush seeded my body with bacteria, and we would beat the infection back only to have it recur after my many reconstruction revisions. My port was removed during my DIEP surgery--thank goodness--because it was most likely colonized with bacteria. I was hospitalized three times for IV antibiotics, and the last time, they sent me home with a PICC line and a bunch of doses of antibiotics to be administered at home through my PICC.

It was no problem whatsoever. And this time, perhaps because we treated with IV antibiotics longer, the cellulitis didn't come back.

I have very minor LE in my left arm, the PICC was in my right arm, and I noticed nothing in terms of LE. The PICC stayed in about three weeks.

pinkribbonandwheels.wordpress.... Dx 10/20/2011, IDC/IBC, Left, 1cm, Stage IIIA, Grade 2, 6/28 nodes, ER+/PR+, HER2- Chemotherapy 12/15/2011 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 4/18/2012 Mastectomy: Left Radiation Therapy 5/21/2012 Breast, Lymph nodes Hormonal Therapy 7/19/2012 Femara (letrozole) Surgery 4/15/2013 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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Jul 6, 2020 12:14AM Katiejane wrote:

Minus Two, No, I am not having any other treatment. I considered a port and also a Groshong line but my infusions will be done on the 25th and those are both invasive. I hope I am making the right decision. I had a port for chemo back in ‘07 and that wasn’t great either.
Thanks for your input!! katiejane

Dx 6/13/2007 Dx 6/13/2007, ILC, Stage IIA, Grade 3, 3/28 nodes, ER+/PR+, HER2-
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Jul 6, 2020 12:25AM Katiejane wrote:

snelizabeth, Thanks for getting back to me. I’ve had a port when I was doing chemo- very irritating to say the least. I will need 3 more weeks of antibiotics and I think a PICC is much less invasive and I’m hoping that a PICC is the right choice for me. The radiologist is going to place it in my AC so the entrance of the line will be well below the upper arm/ chest wall. Keeping my fingers crossed!!! Thanks again!! katiejan

Dx 6/13/2007 Dx 6/13/2007, ILC, Stage IIA, Grade 3, 3/28 nodes, ER+/PR+, HER2-
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Jul 6, 2020 08:04PM MinusTwo wrote:

Good luck KatieJane.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014

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