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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Diabetes, High BP. Now Having Skin Rashes, Skin Swollen. Gave Hydro Cortisone Injection. Have Fever. Treatment?

Dear Sir,
My mother is 62 years old with diabetes and High Blood pressure. 20 days back (4th-may) she suddenly got Skin Rashes all over the body (reddish) and skin was swollen and after few hours she noticed body temperature of 101. Same day The treating doctor gave her one c after few hours of which the skin rashes subsided. She was on antibiotic for three days (ofloxin and cefpodexime ). She discontinued the antibiotic thereafter. After 2-3 days she felt low grade fever, after which she was advised for Blood screening including Blood culture. Blood culture revealed Steph Aureus with sensitivity to several drugs including ofloxin (azithromycin, cephalexin,clarithromycin,erthromycin, tetracyclene etc), she again was on Ofloxin for five days. Now she is having fever Upto 99 F in morning for 1-2 Hrs , which itself normalizes without taking any antibiotics. this kind of situation is lasting from 8-10 days. In between there were some days in which she do not got fever. Now doctor has put her on one antibiotic used for urinary tract infection. Please suggest If the blood culture report seems correct and what can be further line of treatment.Thanks
posted on Mon, 27 May 2013
Twitter Fri, 31 May 2013 Answered on
Twitter Sat, 1 Jun 2013 Last reviewed on
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Presumed that her blood sugar and hypertension are normal.
At the beginning there was some urticaria type rash where fever is there,
Noe fever is off and on that is the cause of concern.
As you mentioned that she got blood culture. Drug sensitivity test were right for culture.
But without report , how one can say that which type of antibiotics are most suitable , so ,if possible attach the report with is query.
Consult treating physician and find out the nature and type of disease.
In diabetic patient blood sugar control is very much important .
Please get in blood as well urine culture once again.
Hope I have answered all question.
If further any question I will help.
Good luck.
Dr. HET
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Have Diabetes, High BP. Now Having Skin Rashes, Skin Swollen. Gave Hydro Cortisone Injection. Have Fever. Treatment?

Hello, Thanks for the query to H.C.M. Forum. Presumed that her blood sugar and hypertension are normal. At the beginning there was some urticaria type rash where fever is there, Noe fever is off and on that is the cause of concern. As you mentioned that she got blood culture. Drug sensitivity test were right for culture. But without report , how one can say that which type of antibiotics are most suitable , so ,if possible attach the report with is query. Consult treating physician and find out the nature and type of disease. In diabetic patient blood sugar control is very much important . Please get in blood as well urine culture once again. Hope I have answered all question. If further any question I will help. Good luck. Dr. HET