Tuesday, May 10, 2011

# 45 Need help with these 2 cases

Case #1:

Guy comes in with a rash progressive for a year. RPR negative (which is rare here, since malaria can make it positive too). Not better with doxy, erythro, griseo, ceftriaxone, mebendazole, praziquantal, ivermectin and diethylcarbamazepine. Been here for over a week. Any ideas?

Case #2
Twelve-day-old comes in with fever, abscess of the bicep and buttock and rash below. Has malaria. Fevers gone after ampicillin and gentamicin. Rash persists. Any ideas?

This is just a very small sampling of the sweet stuff I get to play with every day.

Olen and Danae


Olen Tigo: +235 98 07 46 28
Olen Zain: +235 62 16 04 93
Danae Tigo: +235 98 07 46 27
Danae Zain: +235 62 17 04 80
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  1. Streptomycin...that will cover plague, tularemia and tb. Just a thought. Not sure if you can get the streptomycin..if not let me know...just a though. This for case #1

  2. Case #2- fungal rash Ringworm? (gone crazy)

  3. Case #2 rickettsial infection?...Doxy?

  4. Did you ever find out what these two cases were and how did you treat them?

  5. the ist case looks like malignancy, his umbilicus is retracted/distorted as in sister mary joseph nodule, ie bowel cancer... he also has raised groin nodes and what looks like suppurating axillary/pectoral lymph nodes.... plus no improvement with antibiotics. jo. good luck ! btw once saw a baby with lupus had similar rash in case 2.