Re: Vulvar MRSA
From: art fougner, md (evsono@pipeline.com)
Thu Jul 28 07:51:23 2005
I believe Dr. Faro is in Chicago presently.
art
At Thu, 28 Jul 2005, Robert J. Carpenter, Jr. MD wrote:
>
>Seb is world class. Pull him up on pubmed. plus 3-4 books on ID
>
>On 26 Jul 2005 at 9:15, ainsron wrote:
>
>> She is 15 weeks. It is sensitive to Bactrim and that is what I plan
>> to treat with. It's also sensitive to Gentamycin, Rifampin,
>> Vancomycin, Linezolid and Moxifloxacin. Resistant to TCN, Cefazolin,
>> Emycin, Oxacillin, and intermediate to Levofloxacin. Is Faro an
>> OB/Gyn ID specialist? Where's he at? Thanks for the suggestions.
>>
>> Ronald E. Ainsworth, MD, FACOG
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>> Robert J. Carpenter, Jr. MD Sent: Tuesday, July 26, 2005 4:33 AM To:
>> Multiple recipients of list OB-GYN-L Subject: RE: Vulvar MRSA
>>
>> Treatment with Bactrim DS, Cleocin, before delivery are reasonable.
>> Postdelivery depending on degree of infection then Tetracyclines work.
>> What is her gestational age.
>>
>> You can call Seb FAro at 713-799-8994. What are the in vitro sensis
>>
>> On 25 Jul 2005 at 13:55, ainsron wrote:
>>
>> > 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
>> >
>>
>> Robert J. Carpenter, Jr. MD
>> 6624 Fannin, #2720
>> St. Luke's Medical Tower
>> Houston,TX 77030-2339
>> 713-795-4600
>>
>--
>Robert J. Carpenter, Jr. MD
>6624 Fannin, #2720
>St. Luke's Medical Tower
>Houston,TX 77030-2339
>713-795-4600
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
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