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Re: Vulvar MRSAFrom: ainsron (ainsron@sbcglobal.net)Mon Jul 25 13:53:28 2005
I haven't even had a chance to talk to her yet, I was gone the end of last week and the culture was sitting on my desk today. She had an appointment today, but cancelled it because she had to go out of town. I'll have her call me when she gets back. I wish an ID consult was an option, there are none in Northern CA, she would have to go 90+ miles to Sacramento. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent: Monday, July 25, 2005 11:39 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Vulvar MRSA In a message dated 7/25/2005 12:43:34 PM Eastern Standard Time, ainsron@sbcglobal.net writes: I saw a OB patient last week with a markedly erythematous vulva with multiple excoriations and linear ulcerations. She was positive for trichomonas and treated with Flagyl. I also did a routine vaginal culture that came back positive for MRSA. How would you treat it, Vancomycin? The hospital will go crazy unless I document clearance before labor. Would you do vaginal and nasal cultures? This patient needs hospitalization, aggressive IV antibiotics, with I.D. consultation. Know of 2 patients at our hospital with MSRA secondarily infectied vulvar ulcerative disease ( one from HSV) She subsequently had to have a hindquarter amputation! Is your patient doing OK? Robert Modugno MD MBA FACOG Marietta, GA
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