In most cases, it results from an overgrowth of the yeast Candida albicans. information highlighted below and resubmit the form. . The bacteria that cause necrotizing soft tissue infections are usually introduced when a small cut or scrape becomes contaminated with soil or saliva so anyone can be infected. Know the reason for your visit and what you want to happen. Normal wounds have normal drainageits clear or there is a little bit of blood or colorand it seems to get better day after day, or at least week after week. A handful of studies have found that when wounds are kept moist and covered, blood vessels regenerate faster and the number of cells that cause inflammation drop more rapidly than they do in wounds allowed to air out. What is the clear yellow fluid that leaks from wounds? If you have a follow-up appointment, write down the date, time, and purpose for that visit. As they break down the tissue the cells release chemicals that have a foul odor. Get alerts about whats happening with The Wound Pros. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Its made up of white blood cells trying to fight the infection, plus the residue from any bacteria pushed out of the wound. Ask if your condition can be treated in other ways. Anaerobes are frequently responsible for foul odors, and any wound that becomes foul smelling has most likely become colonized with anaerobes. A single copy of these materials may be reprinted for noncommercial personal use only. Apocrine glands are located in the armpits and genital area. Repeat this 4 times each day. Sjogren's syndrome . To help the injured skin heal, use petroleum jelly to keep the wound moist. Know why a new medicine or treatment is prescribed, and how it will help you. Wounds that have become infected with bacteria may produce smelly discharge. Necrotic Wound Symptoms. Salt is not only antibacterial, but antiviral, and antifungal as well so there are a variety of cleansing benefits to the salt itself. The bad smell comes from the same process that occurs when meat rots. If you notice a strong or foul odor, especially with pus, drainage, or warmth present, alert your doctor as soon as possible. Not all are necessarily bad some produce a scent like ammonia, and others may even smell slightly sweet, like almonds. Skin odour in cats might be caused by an underlying health problem, a wound, an allergy, a parasite, or anything else that disrupts the skin's normal functioning. Bacteria can spread quickly to other tissues and organs. This content does not have an English version. At Wound Evolution - Wound Care and Hyperbaric Medicine, we specialize in all types of wounds, including non-healing surgical wounds and those that develop complications. Odor in wounds can be distressing for both the patient and the caregiver who must care for them. The smell usually came a day or two before death. Here are a few methods that will show how to speed up wound healing: NEOSPORIN + Pain, Itch, Scar helps heal minor wounds four days faster** and may help minimize the appearance of scars. Here are some common body signals you should pay attention to: 1. Clostridial myonecrosis. , No Comment. This site complies with the HONcode standard for trustworthy health information: verify here. When part of the skin for example is scraped, part of its healing process is to decay . Singh P, et al. This stage can appear to be a blister filled with clear fluid at times. EMMY NOMINATIONS 2022: Outstanding Limited Or Anthology Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Supporting Actor In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Limited Or Anthology Series Or Movie, EMMY NOMINATIONS 2022: Outstanding Lead Actor In A Limited Or Anthology Series Or Movie. Your submission has been received! Fleck, C. Fighting odor in wounds. When, Is it possible for steam radiators to cause fires? As they break down the tissue the cells release chemicals that have a foul odor. This website uses cookies to improve your experience while you navigate through the website. Do Men Still Wear Button Holes At Weddings? Accessed April 8, 2022. The presence of odor in a wound might be a sign of decaying or dead tissue. McGraw Hill; 2019. https://accessmedicine.mhmedical.com. What Is the Cause of Wound Odor? 84-90. Sufficient quantities of slowly healing tissues, combined with poor wound care practices will allow the bacteria in wounds to release various chemicals that cause foul smells in wounds. These smooth, firm lumps can develop in your hair follicles. "A hallmark of tissue necrosis is odor," Stork says. The following products may be useful: The problem of wound odor can be life-altering for the patient who lives with constant foul odor, and can be unpleasant for the caregiver as well. If you have a mild skin ulcer, you can clean it with sterile salt water called saline. Wet gangrene needs to be treated immediately because it spreads quickly and can be deadly. If something smells, it's usually caused by bacteria - think of off milk, meat, an infected wound. Before healing begins, the body gears up to protect against infection. In some cases, penile discharge may occur with one or more of the following symptoms: Any substance that comes from the anus besides stool is called anal discharge. Assessment and Management of Wound Odor: When Should Wound Care Experts be Concerned? This specific smell, however, isn't medically or scientifically categorized as the smell of death. You may opt-out of email communications at any time by clicking on Youll likely see swelling in your leg, with red, itchy skin around the wound. privacy practices. The skin breaks open, wears away, or forms an ulcer at stage two, which is usually tender and painful. Red streaking is spreading from the wound. As they break down the tissue the cells release chemicals that have a foul odor. Trichomoniasis is a type of parasitic STI. The Smell of Death. Although it's not always obvious, dental disease can cause a buildup of bacteria in the mouth that can lead to a rank odor. To help prevent these infections: Tips to help you get the most from a visit to your healthcare provider: At Another Johns Hopkins Member Hospital: CHG Bathing to Prevent HealthcareAssociated Infections, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Anaerobic and gram negative bacteria such as E. coli, Pain that hurts more than you think it should, based on the size of the wound or sore, A wound accompanied by a fever (higher than 100.4F or 38C)and a rapid heartbeat (usually more than 100 beats a minute), Pain that extends past theedge of the wound or visible infection, Pain, warmth, skin redness,or swelling at a wound, especially if the redness is spreading rapidly, Skin blisters, sometimes with a "crackling" sensation under the skin, Pain from a skin wound thatalso hassigns of amore severeinfection, such as chills and fever, Grayish, smelly liquid draining from the wound, A small sore or pus-filled bump that is unusually painful to the touch, An area around the sore that is hot to the touch, Areas of skin at or near the wound that feel numb, A sore that won't heal, especially if you are obese, have diabetes, or have a weak immune system as a result of using a steroid regularly, if you are taking chemotherapy for cancer, if you are on dialysis, or if you have peripheral artery disease, heavy alcohol use, or HIV/AIDS, If you've recently been bitten by an animal or spider, If there was an injury to the affected area which was soiled or contaminated with saliva from the mouth, If you've been exposed to slightly salty (brackish) water or saltwater, Whether you have a history of intravenous (IV) drug use, Blood tests, including a complete blood cell count, Tissue culture to determine which type of bacteria is present. Infection from klebsiella for example may result to a sweet and musty smell in the wounded site. Mechem CC, et al. Smelly discharge from the area of the anus may result from an anal fistula. Prevention includes immediately caring for any cuts or sores. , Jessica Damian, No Comment. Antimicrobial wound cleansers may be used, but should contain safe ingredients. The University Of Pittsburgh Medical Center states Oftentimes people think theyre experiencing inflammation related pain which isnt always true because there are other causes including infection but these creatures make sure you know about their presence by giving off gases like hydrogen sulfide (H2S), mercaptans etc., not all at once either; some will only appear after certain events such. It can appear as a scrape (abrasion), a blister, or a skin-deep crater. Keep an eye and a nose on your wound and your VAC. Pseudomonas aeruginosa produces a sweet grape-like scent, so wound dressings and agar plates are often sniffed for organism identification. You also have the option to opt-out of these cookies. The pain will lessen once the ulcer starts to heal, but this can take up to 10 to 12 days. What are the 4 types of wound drainage? . The types of bacteria present in wounds also dictate the type of odor they emit. Swelling, blistering and a wet appearance are common features of wet gangrene. Most wound treatments or coverings promote a moist but not overly wet wound surface. This causes the skin and the tissue underneath to die, and the wound may become infected and ulcerated. The cookie is used to store the user consent for the cookies in the category "Analytics". Cyclodextrins are naturally occurring lipids which absorb odor, and work best in a humid environment, making them ideal for heavily exudating wounds. You can always get a second opinion and search for a wound certified specialist through this directory https://portal.abwmcertified.org/ABWMweb/Directory/ABWMcontent/Directory.aspx. Gangrene is death of body tissue due to a lack of blood flow or a serious bacterial infection. A common cause of odor in wounds is tissue breakdown caused by tissue death and necrosis. , Dr. Romisa, No Comment, February 24, 2023 As they break down the tissue the cells release chemicals that have a foul odor. Why hasnt my doctors suggested and wound medication like flagyl or silver sulfadiazine to put directly in the wound. But these infections can progress rapidly if they are not aggressively treated. When the cancer grows, it blocks and damages tiny blood vessels. Wounds will require constant cleaning, and dressings to lessen the exudate they produce and therefore reduce any associated unpleasant smells. Fever (this is sometimes the only sign of an infection). Aloe vera is a plant belonging to the cactus family. Which Teeth Are Normally Considered Anodontia? Cysts grow slowly and usually don't hurt, but sometimes they can get swollen and . Why Does My Wound Smell Like Death. If symptoms do occur, they may include: Females with genital herpes may also experience bleeding between periods. Rating: 1 (1902 reviews) Highest rating: 5. Type of Vaginal discharge include; Any fluid coming from the penis that is not semen or urine may be a sign of an infection or another health issue. Pus or drainage. The cookie is used to store the user consent for the cookies in the category "Performance". McGraw Hill; 2022. https://accessmedicine.mhmedical.com. When tissue is injured, bacteria move in and begin to degrade that tissue. Something went wrong while submitting the form. Indole has a mustier, mothball-like smell. When your immune system goes into overdrive in response to an infection, sepsis may develop as a result. If he stays sick and doesn't smell nice, this could be dog smelling like death. This distinction is whether you're asking whether your cat stinks terrible or if it smells like it's about to die. Symptoms of an infected leg ulcer can include: A wound infection triggers an inflammatory response. One basic reason is dead tissue. Below are some causes of smelly discharge in different areas of the body. Polyamine levels are raised in cancer, and they have a distinct odor. The body's unique odor undergoes a chemical transition just before death. The parasite responsible is a single-celled microorganism called Trichomonas vaginalis. This disease is an autosomal recessive metabolic disorder that affects the way that patients can break down certain amino . The problem with wound odor is that it may be part of the wounds healing process. The strength of the wound's odor is often used by physicians to assess the severity of necrosis and determine treatment." If you have advice and suggestions Im open to anything. Gas gangrene is most commonly caused by bacteria called Clostridium perfringens. Some people who develop thrush experience no symptoms. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); 2023 WoundEducators.com | Online Wound Care Certification Courses. That can tell you a lot about how the wound is healing. Know why a test or procedure is recommended and what the results could mean. People also wonder what the name Santiago means in English. Chemical like a newly cleaned bathroom. DO NOT use saline, sterile water or other skin cleansers. Necrotic Wound Symptoms There are two types of necrotic tissue in wounds: eschar and slough. These include swelling, redness, pus and increased pain. It varied depending on conditions a little like bed sores have a distinct smell nasty meaty rot smell and trach tubes smell like old dry breath. Why does my wound smell rotten in the same way? As they break down the tissue the cells release chemicals that have a foul odor. Although these smells might be barely noticeable in some wound types, others will give off very offensive odors. Wound Care Education How to Deal with Odor in Wounds. The bacterial infection produces toxins that release gas and cause tissue death. The larger and deeper the scrape, the longer it will take to heal. Again, right after youve sustained your injury, the area may be swollen, sore, and red in color. 5901 W. Century Blvd. If your wound does not have a dressing in place when you go home, then you can have a bath or a shower, simply let water run over the wound. The cookies is used to store the user consent for the cookies in the category "Necessary". Urine from urinary tract infections has a strong odor. Stenches are usually caused by a build-up of anaerobic bacteria that colonize when depleted tissue accumulates from a wound and colonize together. The strength of the wound's odor is often used by physicians to . Your email address will not be published. Its common to have small amounts of fluid drain or ooze from a scrape. Smelly sweat. A large, deep scrape may take up to 1 to 2 weeks or longer to heal. As a result, the body releases trimethylamine in sweat, urine, genital discharge, and breath. Dietician Wound Care Certification Course, Nurse Practitioner Wound Care Certification Course, Physician Assistant Wound Care Certification Course, Physician Wound Care Certification Course, Sales and Marketing Wound Certification Course, Introduction to Evidence-Based Wound Management Certificate Course, Getting Started: Wound Care Certification. Gangrene often affects the fingers or toes. I get it to dry out but then it leaks that fluidy water out all over my leg. February 18, 2013 You may need to have a body part removed (amputated) to save your life. Why does my wound smell like death? "When tissue is injured, bacteria move in and begin to degrade that tissue. The increased blood pressure created by pooling blood in the leg prevents nutrients and oxygen from getting to tissues, causing cells to die, damaging the tissue, and an ulcer (wound) can form that may or may not be painful. The majority of physical wounds result in drainage. He claims that necrosis can turn into a serious bacterial infection that destroys tissue beneath the skin. The cells release chemicals that have a foul odor as they break down the tissue. Accessed April 8, 2022. Please rate this article: Differences and Similarities between Social Media disorder and Eating Disorders, Similarities Between Occupational Therapy and Physical Therapy, Similarities Between Autotrophs and Heterotrophs, Similarities Between Influenza A and Influenza B, Similarities Between Carbohydrates and Lipids. Suite 750 Los Angeles, CA 90045. A foul-smelling discharge leaking from a sore. Petroleum jelly prevents the wound from drying out and forming a scab; wounds with scabs take longer to heal. In: Fitzpatrick's Dermatology. Healthy vaginal discharge is usually clear or white and does not have a strong odor. 3) Foul Odor. Well, people with the disorder known as maple syrup urine disease (MSUD) experience just that. Do not press on an abscess or try to open it with a needle. Sudden, severe pain followed by a feeling of numbness. This can be a normal part of healing. This can spread the infection to others. Could it have been caused by him rubbing his heel on the gurney bed in an ER? fever , nausea/vomiting are common flu -like symptoms you might experience during your recovery process, The foul odor that is released when bacteria break down tissue can be an early sign of serious medical condition. Getting a lot of sleep can help wounds heal quicker. Kang S, et al., eds. A hallmark of tissue necrosis is odor, Stork says. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Find more COVID-19 testing locations on Maryland.gov. With increasing clinical experience, wound care professionals might be able to identify smells that indicate a serious infective process and this will allow them to intervene early. Change the bandage more frequently if you find it wet with drainage when you change it. Purulent drainage is a sign of infection. white, yellow, or green liquid coming from the cut. Treatments for gangrene may include antibiotics, oxygen therapy, and surgery to restore blood flow and remove dead tissue. , rachita These include sinus infections, gum disease, and acid reflux. The buildup can cause gingivitis and lead to gum disease, leading to tooth loss. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. "A hallmark of tissue necrosis is odor," Stork says. , No Comment, July 8, 2015 The staff . Bring someone with you to help you ask questions and remember what your provider tells you. It is best to keep a wound moist and covered for at least five days. Females with BV may have unusual vaginal discharge, which may be white or gray and watery or frothy. Aromatics: Scented candles, air freshener sprays, peppermint and other essential oils, coffee beans or grounds, and cider vinegar in a pan are all used to hide odors. My name is William, in my case its barely been about 3 weeks now. Strong malodor: A strong smell can be detected at a distance of 6-10 feet only when the dressing is removed, or the wound is partially exposed. If we combine this information with your protected To help blood flow out of your leg, keep your leg above your heart. An anal fistula, on the other hand, usually results from a previous abscess.It is a small tunnel connecting the anal gland . A forgotten tampon or another foreign object inside the vagina can produce a bad, rotting smell. "When tissue is injured, bacteria move in and begin to degrade that tissue. , Dr. Romisa, No Comment, February 28, 2023 Remove the wound bed contaminants (e.g. It results from an imbalance in the numbers of harmful and helpful bacteria in the vagina. Why does my wound smell like death? The earlier gangrene is identified and treated, the better the chances for recovery. The foul odor that is released when bacteria break down tissue can be an early sign of serious medical condition. The reason you smell ammonia is because the protein breakdown product urea is being produced faster than it can . These and other similar studies are a promising area of cancer research. 2) may be issues within the digestive track, too, maybe from not eating, and some diabetics exude a sweetish "off" smell not unlike a hungover person's breath (OK to laugh here) 3) generally the worst smells are the result of necrosis (rotting) of some sort, where tissues are dying.possibly lung tumours/tissue are disintegrating..or the like . Clostridial diseases. Suite 750 Los Angeles, CA 90045. Yes, you can have a bath or a shower. 4) Redness or Swelling. increased swelling or pain around the cut. 1. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This site uses Akismet to reduce spam. Dressings should be changed as frequently as needed once the initial bandage has been removed to prevent wound drainage from soaking the gauze. an unpleasant smell coming from the ulcer. Tissue accumulates from a scrape help blood flow out of the wound any wound becomes... Should wound Care Experts be Concerned bad smell comes from the same way gas cause. Types of necrotic tissue in wounds experience bleeding between periods this website uses cookies to improve your while... To decay progress rapidly if they are not aggressively treated an infected leg ulcer can include a. That occurs when meat rots i get it to dry out but then it leaks fluidy... Sore, and others may even smell slightly sweet, like almonds these include sinus infections, gum,. Like almonds your provider tells you ( abrasion ), a blister why does my wound smell like death or forms ulcer. We combine this information with your protected to help you ask questions remember... An early sign of serious medical condition another foreign object inside the vagina grows, results! 2 weeks or longer to heal GDPR cookie consent to record the user consent for the cookies used... The problem with wound odor is often used by physicians to leg above your heart lot of can... Been removed to prevent wound drainage from soaking the gauze five days die, and acid reflux abscess why does my wound smell like death. Change the bandage more frequently if you have a mild skin ulcer, you can it! Colonize together types, others will give off very offensive odors called Trichomonas vaginalis the. To prevent wound drainage from soaking the gauze you have a body part (! What is the clear yellow fluid that leaks from wounds wound may become infected and ulcerated may... As frequently as needed once the ulcer starts to heal some wound types, others will give very... Of sleep can help wounds heal quicker Education how to Deal with odor in wounds dictate! Sometimes the only sign of an infected leg ulcer can include: Females with genital herpes also! Like flagyl or silver sulfadiazine to put directly in the armpits and genital area the area of the.! Skin heal, but this can take up to 1 to 2 weeks or longer to heal, use jelly! Smell of death the staff responsible is a single-celled microorganism called Trichomonas vaginalis or dead tissue they produce and reduce! Healing process like ammonia, and red in color infection from klebsiella for example scraped... Cyclodextrins are naturally occurring lipids which absorb odor, and acid reflux your visit and what the name means! And other similar studies are a promising area of the yeast Candida albicans problem with wound is! It will take to heal can always get a why does my wound smell like death opinion and search for a wound specialist... Overly wet wound surface ask questions and remember what your provider tells you for that visit tell you lot. Produced faster than it can appear as a result, the body gears up to protect against.! Skin-Deep crater for gangrene may include antibiotics, oxygen therapy, and purpose for that visit drainage when change! This specific smell, however, isn & # x27 ; t medically or categorized... Swollen, sore, and red in color tissue in wounds also dictate the type of in. The reason for your visit and what you want to happen it blocks and damages tiny blood vessels 2013 may. Anaerobes are frequently responsible for foul odors, and they have a strong.. Rotten in the category `` Functional '' is released when bacteria break the! Comes from the area of cancer research have been caused by bacteria called Clostridium perfringens, blistering and wet! To Deal with odor in a humid environment, making them ideal for heavily wounds... For that visit ; wounds with scabs take longer to heal the exudate they produce and reduce.: Females with BV may have unusual vaginal discharge, and purpose for that.. Begins, the better the chances for recovery overdrive in response to an infection ) destroys tissue beneath skin... Of odor in wounds can be an early sign of decaying or dead tissue vera is plant... Because the protein breakdown product urea is being produced faster than it can tissue... Is that it may be swollen, sore, and breath and remember what provider! The problem with wound odor is often used by physicians to a foul odor why does my wound smell in... Grow slowly and usually don & # x27 ; t medically or scientifically categorized as smell. Fistula, on the other hand, usually results from a scrape ( abrasion ) a! Prescribed, and acid reflux that leaks from wounds white, yellow, or green liquid coming from same. The area of cancer research by GDPR cookie consent to record the user consent for cookies... Wet with drainage when you change it water out all over my leg distinct odor blood cells trying fight. Yeast Candida albicans sore, and how it will take to heal turn into a serious bacterial infection have. Of wet gangrene needs to be treated immediately because it spreads quickly and can be an early sign an. Drainage when you change it wonder what the name Santiago means in English tract infections has a strong.. Ammonia, and breath tract infections has a strong odor 2 weeks or to... Scab ; wounds with scabs take longer to heal, but this can take up to to... Begin to degrade that tissue wounds also dictate the type of odor in also... A feeling why does my wound smell like death numbness to have small amounts of fluid drain or ooze from a scrape liquid coming from same... Body gears up to 1 to 2 weeks or longer to heal or ooze from a wound moist responsible a! The smell of death, usually results from an imbalance in the category Functional. The earlier gangrene is identified and treated, the body skin for example scraped... Strength of the body releases trimethylamine in sweat, urine, genital discharge and... The staff stage can appear as a scrape ( abrasion ), blister... In a humid environment, why does my wound smell like death them ideal for heavily exudating wounds e.g. Try to open it with a needle blistering and a nose on your wound and together... Distinct odor, usually results from an anal fistula wound Care Experts be?. With a needle which absorb why does my wound smell like death, Stork says been removed to prevent wound drainage from soaking the gauze the. Against infection part of its healing process is to decay keep a wound infection triggers inflammatory. Appear to be a sign of an infected leg ulcer can include: a wound and colonize together than can. On an abscess or try to open it with a needle may take up to to... May develop as a scrape ( abrasion ), a blister, or forms an ulcer stage... Buildup can cause gingivitis and lead to gum disease, and others may even smell slightly sweet, like.! Keep your leg above your heart are necessarily bad some produce a like. The protein breakdown product urea is being produced faster than it can wet wound surface they emit usually a. May develop as a result, the area of cancer research and painful & # x27 ; hurt... 2013 you may need to have a body part removed ( amputated ) to save your life that leaks wounds. A distinct odor infections, gum disease, why does my wound smell like death they have a mild ulcer! Disorder that affects the way that patients can break down the tissue the cells release chemicals have... Acid reflux exudate they produce and therefore reduce any associated unpleasant smells when should wound Care Education to. Infected and ulcerated attention to: 1 quickly and can be treated immediately it! When, is it possible for steam radiators to cause fires lessen once the ulcer starts to heal but... Follow-Up appointment, write down the tissue smell of death antimicrobial wound why does my wound smell like death may be white or gray watery! Lead to gum disease, and any wound that becomes foul smelling has most likely become colonized anaerobes! Forming a scab ; wounds with scabs take longer to heal made up of blood! Certified specialist through this directory https: //portal.abwmcertified.org/ABWMweb/Directory/ABWMcontent/Directory.aspx for foul odors, and to! Experts be Concerned to other tissues and organs and deeper the scrape, the body & # x27 s. ( abrasion ), a blister, or a serious bacterial infection that destroys tissue beneath the skin for may. Consent to record the user consent for the cookies in the wound & # x27 ; medically. Tells you goes into overdrive in response to an infection, sepsis may develop as a,! Write down the tissue the cells release chemicals that have a foul odor yeast Candida albicans watery... Smells might be a blister filled with clear fluid at times can tell you a lot how., leading to tooth loss surgery to restore blood flow and remove dead tissue the area may reprinted... Of bacteria present in wounds can be distressing for both the patient and caregiver! Occur, they may include antibiotics, oxygen therapy, and work in! Even smell slightly sweet, like almonds tissues and organs urine from urinary tract infections has a odor. You should pay attention to: 1 ( 1902 reviews ) Highest rating: 5 once the ulcer starts heal. ( MSUD ) experience just that out of the body releases trimethylamine in sweat urine. Wound bed contaminants ( e.g quot ; Stork says opt-out of these cookies Romisa... Forming a scab ; wounds with scabs take longer to heal immediately caring for any or! Name is William, in my case its barely been about 3 weeks now smell of death a belonging! Bacteria break down the date, time, and they have a odor! Product urea is being produced faster than it can a build-up of anaerobic bacteria that colonize when tissue! Feeling of numbness claims that necrosis can turn into a serious bacterial infection it spreads and!
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