Skin and soft tissue infections

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Boil

Case report:

In a 47-year-old patient is two days since a boil in the region of the right nostril. The complaints have been increasing rapidly.

Comments:

Boils caused by staph. Usually boils be treated surgically. An exception are nose and Lippenfurunkel, here come primarily antibiotics used. As important complications an orbital cellulitis, a cavernous sinus thrombosis or meningitis can develop. Timely antibiotic treatment is necessary.

Therapy:

The patient is treated for ten days with the penicillinase-resistant penicillin Flucloxacillin (STAPHYLEX). The dosage is 1000 mg three times daily (two capsules of 500 mg). The preparation should be administered sober. Gastrointestinal disorders (anorexia, nausea) are the most common adverse reactions that may occur during treatment. Contraindications: Penicillin allergie.A

Alternatives:

Other isoxazolyl penicillins such as dicloxacillin (dichloro-STAPENOR; g three times a day 1), can also be used. Another B-lactam antibiotics that can be used in staphylococcal infections, is cefalexin (CEPHALEX, three times daily 1000 mg).
When penicillin allergy can with clindamycin (SOBELIN; tid 300 mg) are treated. An advantage of this antibiotic is to good tissue penetration.
Not suitable in this case: penicillin V (ISOCILLIN among others) should not be used for staphylococcal infections, as are the majority of staphylococcal strains penicillinase. Some of the newer Oralcephalosporine [cefpodoxime (ORELOX, PODOMEXEF), cefixime (CEPHORAL)] are effective against staphylococci not sufficient and may not be applied to the corresponding infections.

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