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re: Woman dies after contracting flesh-eating bacteria, Husband blames delayed diagnosis

Posted on 5/11/18 at 10:11 am to
Posted by Scruffy
Kansas City
Member since Jul 2011
72386 posts
Posted on 5/11/18 at 10:11 am to
quote:

No way she died from it just being on her butt I'm assuming. Did it eat away a large portion of her skin or does it go internal?
Yea, not a chance. She would have looked like death warmed over if it progressed that quickly.

Not sure what the cause of death would be here. Not enough info.
quote:

Anyone familiar with necrotizing fasciitis?
Incredibly painful. Awful skin infection with breakdown and necrosis.

Scruffy is not sure how quickly this progressed, but if she was still able to move around and carry on her daily life, she must have been one tough woman.
Posted by htran90
BC
Member since Dec 2012
30180 posts
Posted on 5/11/18 at 10:11 am to
Likely felt sick, more than a sore on her arse. Was septic, kept chugging through her day. Probably passed out early am and died.
This post was edited on 5/11/18 at 10:12 am
Posted by Dale Murphy
God's Country
Member since Feb 2005
24495 posts
Posted on 5/11/18 at 10:13 am to
quote:

The antibiotic and heating pad diagnosis screams lazy, possible negligent practice though.


Sounds like an abscess. If it's not ready to be drained, that's the treatment. Warm compresses with antibiotics (assuming some cellulitis).
Posted by lsupride87
Member since Dec 2007
96657 posts
Posted on 5/11/18 at 10:14 am to
quote:

My brother came down with Gilliam Barre Syndrome last month and the doctors missed his diagnosis
quote:

Brother is considering suing.

This one will be tough


I feel for your bro (one of my best friends had Gilliam Barre, dont worry your bro will be fine ), but I doubt your brother has a shot in hell with this one


GB actually cant be diagnosed with a test or anything, it is simply diagnosed with other issues being ruled out. It is normal and not considered negligence for it to be missed
Posted by RougeDawg
Member since Jul 2016
5974 posts
Posted on 5/11/18 at 10:15 am to
Medicine will progress dramatically when super computers start doing all the diagnosis. Doctor's can only remember and Google so much.
Posted by MWP
Kingwood, TX via Monroe, LA
Member since Jul 2013
10509 posts
Posted on 5/11/18 at 10:15 am to
quote:

Lots of cases of this going on in the gulf in recent years. I know it says hot tub but that shite seems to be spreading



It's called Vibrio for short. It usually gets the people with compromised immune systems. Most cases are the result of having open wounds/cuts that get infected from water where the bacteria is present. It is a very aggressive and it is often miss diagnosed since it often mimics symptoms of other ailments early on. Lots of times, people can be sick within a few hours and sometimes having to literally amputate affected body parts within days.

Bottom line, it is some bad arse shite.
This post was edited on 5/11/18 at 10:17 am
Posted by Bmath
LA
Member since Aug 2010
18691 posts
Posted on 5/11/18 at 10:15 am to
quote:

Martin said he believes his wife may have contracted the infection from the Florida hotel’s hot tub.


Not likely. It’s more likely a Vibrio vulnificus infection she picked up wading along the beach.
Posted by lsupride87
Member since Dec 2007
96657 posts
Posted on 5/11/18 at 10:16 am to
quote:

Scruffy
Scruffy did you read my story on page 1 where i beckoned you?
Posted by Bmath
LA
Member since Aug 2010
18691 posts
Posted on 5/11/18 at 10:18 am to
quote:

The antibiotic and heating pad diagnosis screams lazy, possible negligent practice though.


If she had no signs of sepsis, then why do you think this? Doctors in her part of the country aren’t used to checking for infectious diseases from the beach.
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 5/11/18 at 10:20 am to
quote:

The antibiotic and heating pad diagnosis screams lazy, possible negligent practice though.




A "kind of painful pimple" is not uncommon. Necrotizing fasciitis is rare. I'd be interested to hear statistics on early detection that avoids the need for hospital care with extensive debridement.
Posted by TDsngumbo
Alpha Silverfox
Member since Oct 2011
41898 posts
Posted on 5/11/18 at 10:21 am to
quote:

Tragic, but it's not clear the doctors did anything wrong.

No, they did do something wrong. The symptoms the article reports she went to the doctor with are symptoms of a staph infection, which can be deadly if the bacteria gets into your bloodstream.

The doctor should have tested the sore on the first visit to rule anything out and to see if it was staph, so he could properly treat it.

I've dealt with recurring staph infections for the past three years and I'm 100% convinced that it is how I will die one day. I'm convinced that shite will get into my blood and I will become septic.

If he would've tested it from the get go this maybe could've been avoided. A doctor taking the laissez faire route on patients simply because they feel like they have bigger problems to deal with with other patients who are still waiting in the waiting room PISS ME OFF. It's why I go straight to a specialist whenever I have something wrong with me. frick general practitioners. They're not worth the shite in my kid's diaper.
This post was edited on 5/11/18 at 10:25 am
Posted by Scruffy
Kansas City
Member since Jul 2011
72386 posts
Posted on 5/11/18 at 10:21 am to
quote:

Brought my kid into the clinic in Orange Beach while on vacation because he had a wheeze when he was breathing in. I figured no big deal since he was still playing, but might as well bring him in


Physician diagnosed him with bronchitis and gave him antibitics to treat it



When we returned home, we followed up with his primary pedectrician


The pedetreician called the DR from Orange Beach a dumbass POS basically


Said 1. Wheezing on the inhale is not a sign of bronchitis usually. 2. Young children rarely get full fledge bronchitis. 3. THe main kicker, even if it was bronchitis treating it with antibiotics is beyond dumb

my kid had simple croup


Was it one of those quick clinics?

Be careful about those.

1. They largely employ NPs. Not all, but majority of them do. And, yes, they refer to themselves as Dr. So-and-so.

2. They hold to the stance of “they just want something even with viral infections”.

You would be absolute amazed by the crap that people are prescribed and sent home with by those clinics.

Scruffy has seen everything from what you described to oral albuterol to acyclovir for colds.

Don’t trust every practitioner you see, and if you go to a Quick Care clinic, realize before hand that they will give you something, likely an antibiotic, no matter the diagnosis.
Posted by lsupride87
Member since Dec 2007
96657 posts
Posted on 5/11/18 at 10:22 am to
quote:

If she had no signs of sepsis, then why do you think this? Doctors in her part of the country aren’t used to checking for infectious diseases from the beach.
Just in general


The give em an antibiotic and give me the next patient routine


We have been cracking down hard on where I work to stop that. I have done audits on it for some of the Doctors who requested it at their clinics



In this specific case it could have been perfect practice though. Ill leave that to the doctors in here to discuss
Posted by Scruffy
Kansas City
Member since Jul 2011
72386 posts
Posted on 5/11/18 at 10:25 am to
quote:

The doctor should have tested the sore on the first visit to rule anything out and to see if it was staph, so he could properly treat it.

See this all the time in the ER.

We never culture the abscess or sore unless it is big enough to incise and drain. Those either are drained in the ER or go to the OR.

Always treat first with an antibiotic and then re-evaluate if symptoms worsen or change. The vast majority do not.
Posted by MrLarson
Member since Oct 2014
34984 posts
Posted on 5/11/18 at 10:25 am to
quote:

that shite seems to be spreading


It's not just the gulf. About mid-summer last year they issued a warning for NW Alabama about finding it in a few rivers.

I had a customer get it a few years ago and he had to wear an pump for antibiotics for about a month to get rid of it.
Posted by TDsngumbo
Alpha Silverfox
Member since Oct 2011
41898 posts
Posted on 5/11/18 at 10:27 am to
quote:

Scruffy

Are you a doctor?
Posted by Scruffy
Kansas City
Member since Jul 2011
72386 posts
Posted on 5/11/18 at 10:28 am to
Yes.
Posted by Bmath
LA
Member since Aug 2010
18691 posts
Posted on 5/11/18 at 10:29 am to
Antibiotics, in general, are becoming more difficult to use for infections where the specific bacteria is unknown.

Thanks to horizontal gene transfer, all kinds of bacteria species are gaining resistance to various antibiotics. And with that, simple species confirmation on a Petri dish doesn’t often tell you much else.

Metagenomic analysis would be much more accurate, but it isn’t efficient enough at this point.
This post was edited on 5/11/18 at 7:55 pm
Posted by lsupride87
Member since Dec 2007
96657 posts
Posted on 5/11/18 at 10:29 am to
quote:

Was it one of those quick clinics?
Yes. We had no choice. Orange Beach/Gulf Shores is horrendous for medical care. It is strange
quote:

They largely employ NPs.
This was actually an MD sadly
quote:

Don’t trust every practitioner you see, and if you go to a Quick Care clinic, realize before hand that they will give you something, likely an antibiotic, no matter the diagnosis.

Yeh I wanted to just wait until we got home from vacation, because I knew he likely was fine because he was still playing and happy, but I wsa just worried about how quickly a breathing issue could become serious


And of course it was a sunday If I could have called our pediatrician I am sure he would have told us not to worry and just monitor ourselves
Posted by TDsngumbo
Alpha Silverfox
Member since Oct 2011
41898 posts
Posted on 5/11/18 at 10:32 am to
quote:

Yes.


So what's your take on recurring staph infections? I've had them for three years, mostly in my nose, but a few have been under my armpits, on my nipple (yes, on my nipple), and right above my dick below my belt line. That one started off as what I thought was an ingrown hair but then progressed to be about the size of a quarter. It never grew a head, just kinda went away after a week or so of antibiotics. But it comes back every now and then then goes away.

This shite scares the hell out of me. How common is this?
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