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Re: chronic endometritisFrom: DoctorJoe@aol.comFri Feb 19 08:05:10 1999
In a message dated 2/19/99 9:19:18 AM, mjutras@gate.net writes: <<Question for ID experts. Have a patient with chronic endometritis found during hysteroscopy/D&C/laparoscopic tubalplasty. She recently competed course of doxycycline. Therefore, the doxy didn't work. No surprise to me since I find it usually doesn't. All cultures negative before Doxycycline. I have been treating with three antibiotics for 2 weeks (Doxycycline, Flagyl, Augmentin) post D&C and having all patients clear the endometritis but this is a complicated, irritating (gastritis and diarrhea), and difficult to remember combination. There has to be a better way. Anyone have a favorite gorillacillin for this particular problem?>> Might try azithromycin or clarithromycin... and metronidazole is probably not the culprit in your regimen, so you could combine that. (Doxycycline is pretty hard on the stomach and AugmentinŽ is a good one for diarrhea.) Joe P.
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