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Israelii and rarely others Herpetic stomatitis Odontogenic infection, including Ludwig’s angina Can result in parapharyngeal space infection (see page 46) MUSCLE “Gas gangrene”. Contaminated traumatic wound Can be spontaneous without trauma. Pyomyositis Herpes simplex virus 1 & 2 Oral microflora: infection polymicrobial Abbreviations on page 2. , All Rights Reserved Sulfisoxazole 2 gm po qid or minocycline 100-200 mg po bid. No therapy; resolves in 2–6 mos. Needle aspiration relieves pain in suppurative nodes.
Gemi only Culture sputum & blood. OR Gati 400 mg IV q24h (gati available po. S. pneumo, urine antigen Ertapenem 1 gm q24h no longer marketed in US Con: Geographic pockets of resistance with clinical failure. Important Drugreported helpful (CID 40: plus azithro 500 mg IV due to hypo- and drug interactions (see Table 22A, page 201). Reversible rash in young 1608, 2005). Legionella urine q24h hyperglycemic reactions) females given Gemi for >7 days. antigen indicated. In general, No rigid time window for first dose; if in ER, first dose in Ceftriaxone/cefotaxime: the sicker the pt, the more ER.
Pneumonia Neonatal: Birth to 1 month Viruses: CMV, rubella, H. AMP + gentamicin ± cefotaxime. Add vanco if MRSA a simplex Bacteria: Group B concern. 5 mg per kg po strep, listeria, coliforms, or IV qid times 14 days. S. aureus, P. aeruginosa Other: Chlamydia trachomatis, syphilis CONSIDER TUBERCULOSIS IN ALL PATIENTS; ISOLATE ALL SUSPECT PATIENTS Age 1–3 months Outpatient: po Inpatient: If afebrile erythro Pneumonitis syndrome. C. 5 mg/kg IV q12h (see metapneumovirus, Comment). If febrile, add Bordetella, S.