A woman from Kelso said her doctors told her shaving before entering the river is what likely caused her to contract cellulitis, causing multiple infections.
KELSO, Wash. — A woman from Kelso, Washington, is thankful to be alive and back at home after being in the hospital for multiple days and requiring surgery due to multiple infections she contracted.
Crystal Worel said on Aug. 10, she and her family went to the river in Kalama to enjoy the day. After losing her mother a few months before, she said she needed the day on the water.
Worel said she shaved before heading out, but soon after, she realized something was wrong.
"The next day or two, I started getting a rash.... I just figured it was razor burn," she explained.
As the days progressed, it started to look infected, and she tried to brush it off — until a week later.
“I was walking very bow-legged; it was very painful. Every movement was incredibly hard," she said.
"I ended up waking up at midnight. I was like 104 [degrees]... chills up and down. ...Every bone in my body hurt. I was very faint. The pain was excruciating," Worel continued.
She went to the hospital, being told by a doctor that she had cellulitis, who believed shaving allowed the opportunity for bacteria from the water to get into her broken skin and cause the infection.
Christopher Brown, deputy director at Carl. R. Darnall Army Medical Center at Fort Hood, Texas, explained that cellulitis is the result of a bacterial or staph infection. Cellulitis, which is inflammation of the cells caused by different infections or bacteria, can be caused by MRSA, or Methicillin-Resistant Staphylococcus Aureus.
"MRSA is a form of bacteria that has become resistant to normal antibiotics," Brown said.
Worel eventually discovered she not only had MRSA, but Morganella morganii as well, which is "a bacteria that's normally found or associated with the human gut, mammals, reptiles, it's part of the normal flora," according to Brown.
He said it becomes an issue when that bacteria gets outside of the body and comes in contact with an open wound or cut and becomes an opportunistic infection.
"Perfect timing and in a situation where somebody has a weakened immune system or other complicating factors, maybe they have another infection going on that the body is trying to fight, then you wind up getting an infection from that," Brown said.
“It is perfectly sound that someone who just shaved their legs, wound up with the cut, and then went into a contaminated body of water where humans and animals are defecating or urinating in the water, would get an infection," he continued.
Worel said after her initial hospital visit, she did not get any better. When she went back the second time and was admitted, she required surgery.
She said prior to her surgery she was so ill that she and her husband were worried she might not make it.
“By Friday morning, the nurse had found me in the bathroom, and I was so sick. I was shaking head to toe; I felt like I was in shock. I was vomiting everywhere. I couldn't get the garbage can in time," said Worel.
“There were a few points that I thought, 'Is tonight the night I go home and I wake up in the morning and she's gone?'" said her husband, Shane.
Worel got surgery last weekend on the abscess and was finally released from the hospital Monday, just in time for her one-year wedding anniversary.
“It was a lovely anniversary gift. It was the best," said her husband.
He said doctors told him it will be months before she's fully recovered.
Brown said that those who just shaved, recently got tattoos, or anything with potentially open skin, should be weary getting into water, even if you don't see an open cut.
“Also, with the shaving — taking off a layer of skin, it might not even be necessarily a cut — it could be abrasion just enough where you've broken down the barrier of skin that protects you from the rest of the environment," said Brown.
He said once infections like this make it into the bloodstream, it can become deadly, and that it's best to wait a couple days after shaving before getting into the water.
“I would wait a couple days after shaving before getting into a body of water, especially a body of water that's not chlorinated or a body of water that doesn't move," he advised.
A weakened immune system, even one that stems from a cold or even physical or emotional stress could weaken it enough to make people more vulnerable. Brown also said to stay up to date with any warnings about bodies of water you may be headed to.
Cowlitz County Health and Human Services wrote in a statement that they had not received any reports related to this issue. They also stated they do not have any record of people contracting MRSA, cellulitis, or Morganella morganni in the Columbia River.