Re: Vulvar MRSA
From: Efrain Ramirez (eramirezt@coqui.net)
Tue Jul 26 16:44:11 2005
Did you received the lit I sent?
Ef
At Tue, 26 Jul 2005, ainsron wrote:
>
>I think it is probably simply one of her skin flora.
>
>Ronald E. Ainsworth, MD, FACOG
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
>fougner, md
>Sent: Tuesday, July 26, 2005 5:36 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: [Norton AntiSpam] Re: Vulvar MRSA
>
>Do you think that MSRA is the causal agent of this patient's vulvitis or
>a fellow traveller?
>
>art
>
>At Tue, 26 Jul 2005, Robert J. Carpenter, Jr. MD wrote:
>>
>>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
>>
>--
>art fougner, md
>
> "If you don't know where you are going, you will wind up somewhere else."
>Lawrence Peter Berra
>
--
"Character may be manifested in the great moments, but it is made in the
small ones."
- Phillip Brooks
~walt whitman~
