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Mons Pubis Is Hurting. Urine Culture Came Back For Enterococcus Faecalis. Took Rocephin. Now?

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Posted on Tue, 10 Sep 2013
Question: Treated empirically for UTI symptoms pending lab results. Shot Rocephin and have completed Doxycyline and Flagyl 2x daily for 7 days. Urine Culture came back for enterococcus faecalis. Vaginal Swab tested positive for Gardnerella. Started Cipro yesterday. Can feel my bladder burning as the infection leaves (I think that is why it's burning). This is my second full day on Cipro. My mons pubis was hurting earlier this evening. Then, about an hour ago, while showering, I noticed the pain there had developed into a hard little sore about the size of a pea - kind of like a little cyst or ingrown hair. Since it erupted, it has now settled down to about half a pea size and is a little tender to the touch. I don't think it's an ingrown hair. I'm worried. Haven't I treated for any possible STI's with the above treatment? What should I do? Could this be the infection coming out of my body.

I feel horrible. I've had sinus/allergy issues, extreme neck pain, earaches/fluid/pressure and light wheezing along with the other issues described above. That is clearing up somewhat given the massive antibiotics I've been on lately.

Most importantly, I have a small child I care for - if he kisses me - he is in the slobbery kissing stage, am I or have I been contagious with the VRE, especially? This contact with him would have occurred within the last 16 days or so. Thank you very much.
doctor
Answered by Dr. Jose Ignacio Artero Munoz (1 hour later)
Brief Answer:
Infection

Detailed Answer:
Hello. Delighted to be able to help.
You should not be worried. Empirical treatment with doxycycline + metronidazole is well suited for STI. After urine culture and vaginal secretion culture, Metronidazole usually kills Gardenerella, and prescription of ciprofloxacin to kill enterococcus is right. It is normal to still feel bladder burning.
You should continue taking ciprofloxacin every 12 hours, minimum 7 days and you would feel better. In relation to the contagious nature to your child, if he was infected the symptoms would have manifested. In addition, if enterococcus is resistant to vancomycin, there are other antibiotics, which kill the bacteria.
Hope I have answered your query. If you have any further questions, I will be happy to help. If you do not have any clarifications, please don’t forget to evaluate my answer. I wish you good health.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Jose Ignacio Artero Munoz (1 hour later)
Thank you for your reassurance. Please respond to my concern regarding the pimple - like sore that has erupted. It's painful, slightly red, round, hard and slightly elevated - almost in near the crease of groin area edge of mons pubis. This is my main concern for writing before I would feel not worried. Any ideas what it is.
doctor
Answered by Dr. Jose Ignacio Artero Munoz (1 hour later)
Brief Answer:
Infection

Detailed Answer:

About the pimple in mons pubis the cause may be a bacterial infection causing the skin cyst. Ciprofloxacin that you are taking is effective for pimple.
Also recommended is to apply an antibiotic cream. Mupirocine cream twice a day is widely used in the treatment of this condition. Please consult your local doctor for a prescription.

Hope this clarifies.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Jose Ignacio Artero Munoz

General & Family Physician

Practicing since :2001

Answered : 1118 Questions

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Mons Pubis Is Hurting. Urine Culture Came Back For Enterococcus Faecalis. Took Rocephin. Now?

Brief Answer:
Infection

Detailed Answer:
Hello. Delighted to be able to help.
You should not be worried. Empirical treatment with doxycycline + metronidazole is well suited for STI. After urine culture and vaginal secretion culture, Metronidazole usually kills Gardenerella, and prescription of ciprofloxacin to kill enterococcus is right. It is normal to still feel bladder burning.
You should continue taking ciprofloxacin every 12 hours, minimum 7 days and you would feel better. In relation to the contagious nature to your child, if he was infected the symptoms would have manifested. In addition, if enterococcus is resistant to vancomycin, there are other antibiotics, which kill the bacteria.
Hope I have answered your query. If you have any further questions, I will be happy to help. If you do not have any clarifications, please don’t forget to evaluate my answer. I wish you good health.