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Old 06-28-2011
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Skin painful “boil” case

A 22-year-old male is referred to his doctor from the local penitentiary. He complains of a red, painful “boil” on his right upper thigh. He states the doctor at the prison started him on antibiotics (cephalexin (Keflex)) for this infection and “lanced” the lesion several days ago. Despite the treatment the infected area has gotten worse. Vital signs show heart rate 80 beats/min, blood pressure 130/67 mm Hg, and temperature of 36.6°C (97.8°F). On close examination of the patient's upper thigh there is a 3 cm area of warm red skin surrounding a 5 mm scab. There is no streaking or redness extending up or down the leg. After doing a repeat incision and drainage on the wound and packing it with iodoform gauze, what is the appropriate antibiotic therapy?

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A. Amoxicillin (Augmentin)
B. Ampicillin
C. Ceftriaxone
D. Doxycycline
E. Intravenous vancomycin
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Old 06-28-2011
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I think is D, because probably we are dealing with a MRSA.
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Dermatology-, Infectious-Diseases, Step-2-Questions

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