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re: Woman dies after contracting flesh-eating bacteria, Husband blames delayed diagnosis
Posted on 5/11/18 at 10:33 am to lsupride87
Posted on 5/11/18 at 10:33 am to lsupride87
If there is ever a large algal bloom when you are at the beach, respiratory issues are not uncommon. Depending upon the species causing the bloom, toxins can be released into the air. Of which, an antibiotic would of course be useless.
0
Posted on 5/11/18 at 10:34 am to DemonKA3268
Wow this new virus bacteria sounds terrifying
Posted on 5/11/18 at 10:39 am to DemonKA3268
quote:
flesh eating virus, bacteria
Some sort of hybrid organism?
It sounds like the doctor was reasonable. Most skin infections on the arse aren’t this particular organism.
He/she knew it was infected and prescribed antibiotics. Once those didn’t work twice, the doc tested for alternative organisms or resistant strains and made the diagnosis. Treatment didn’t work or something else happened. The fact that it went to the coroner’s office is a bit suspicious.
This post was edited on 5/11/18 at 10:54 am
Posted on 5/11/18 at 10:49 am to lsupride87
quote:
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
I kinda said the same thing, but he said there was a lot he hasn't told me that happened.
Posted on 5/11/18 at 10:54 am to TDsngumbo
quote:You are colonized.
what's your take on recurring staph infections? I've had them for three years, mostly in my nose
Despite antibiotic use, colonization of the nares continues. It is a common site for Staph to be present. Most people just aren’t affected by it. Scruffy likely has it in his nose.
There are some antibiotic courses that may treat this, Mupirocin over weeks, but it tends to recolonize the nose over a period of months.
quote:As long as it is caught early and you don’t permit it to fester, it should be ok. Don’t stress yourself out over it.
This shite scares the hell out of me.
quote:More common than you would think.
How common is this?
Why does it affect you more frequently than others?
This post was edited on 5/11/18 at 10:56 am
Posted on 5/11/18 at 10:56 am to Scruffy
quote:
There are some antibiotic courses that may treat this, Mupirocin over weeks, but it tends to reappear over time.
Yep, shove some bactroban up your nose for a couple of weeks. See if that helps.
Posted on 5/11/18 at 10:57 am to Dale Murphy
quote:
Yep, shove some bactroban up your nose for a couple of weeks. See if that helps.
If someone has other tested methods, Scruffy is all ears.
Posted on 5/11/18 at 10:58 am to Blob Fish
quote:
Some sort of hybrid organism?
He likely doesn’t really know difference, but if I want to be a smartass I can point out that some bacteria will host acquired genes from a bacteriophage.
In fact, cholera toxin is only produced by Vibrio cholera with those bacteriophage genes. So in a sense, it is some sort of virus-bacteria hybrid.
This post was edited on 5/11/18 at 7:54 pm
Posted on 5/11/18 at 10:58 am to lsupride87
quote:
The antibiotic and heating pad diagnosis screams lazy, possible negligent practice though.
Not necessarily, but it is like the highlights of a lazy diagnosis
No doubt. Every arse pimple should be admitted directly to the ICU STAT and immediately placed on cardiopulmonary bypass. I mean, that's SOP/Medicine 101.
Posted on 5/11/18 at 11:03 am to Scruffy
quote:
Why does it affect you more frequently than others?
1) Probably dependent upon his skin microbiome community structure.
2) The microbiome is likely influenced by his rate of sebum and mucous production as well as various personal hygiene preferences.
Posted on 5/11/18 at 11:04 am to Bmath
quote:Needs to stop picking his nose.
various personal hygiene preferences.
Posted on 5/11/18 at 11:05 am to Scruffy
You pick it you eat it.
Really builds the immune system.
Really builds the immune system.
Posted on 5/11/18 at 11:09 am to Scruffy
quote:
Not sure what the cause of death would be here. Not enough info.
If I had to take a wild guess, she somehow went septic during the day. That shite will finish you off with the quickness.
Posted on 5/11/18 at 11:12 am to Scruffy
quote:
There are some antibiotic courses that may treat this, Mupirocin over weeks, but it tends to recolonize the nose over a period of months.
I put Mupirocin in each nostril every day. Twice a day when I remember, but I usually try it at least once a day. Will it be able to come back even though I put it in my nose every day?
Also, if I get rid of it in my nose, will it be able to pop up in boils/skin infections in other areas of my body?
Posted on 5/11/18 at 11:12 am to Scruffy
quote:
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.
Just curious about something - if I ever went into the ER with a sore red area on me, knowing it feels way worse than it looks, would I be denied if I asked, "Please test me for necrotizing fascitis. Better safe than sorry."?
This post was edited on 5/11/18 at 11:17 am
Posted on 5/11/18 at 11:16 am to TimeAndTide
quote:
"Please test me for necrotizing fascitis. Better safe than sorry."
The wound would have to be cultured to identify the bacteria, which takes time.
Necrotizing fasciitis is really a clinical diagnosis, sometimes based on physical exam alone, sometimes with the aid of imaging and a couple of labs.
The lady in the article was admitted to the ICU for 16 days. She died at home after being discharged. I'd bet there's more to this story.
Posted on 5/11/18 at 11:18 am to Scruffy
quote:
If someone has other tested methods, Scruffy is all ears.
Since you asked....
I got fed up with it a year and a half ago and went to an immunologist. He ran lots of tests and found out I had 0 antibodies against almost all of the pneumococcal bacteria/viruses. So he prescribed a Prevnar13 shot to me. The pharmacist couldn't believe it since it's usually meant for those 65 and over.
Ever since I got that shot, my problems have DRAMATICALLY decreased, although I have small scares every once in a while. Almost like it tries to show its ugly head sometimes but my body fights it off before it gets bad.
Also -- I'm CONVINCED that steroids bring on staph infections in my body. Shortly after I take prednisone shots or pills, I would usually come down with staph somewhere. I try to avoid prednisone now because of it. After pondering this weird theory of mine for a while, it dawned on me that a few months before the first infection occurred, I had received three steroid injections into my shoulder for an injury I sustained in an auto accident. When I remembered that, it was kind of an "ah ha" moment for me.
Any thoughts on the correlation between the Prevnar 13 shot, prednisone, and staph bacteria?
This post was edited on 5/11/18 at 11:21 am
Posted on 5/11/18 at 11:26 am to TimeAndTide
quote:There isn’t a test for it.
"Please test me for necrotizing fascitis. Better safe than sorry."?
It is based on clinical factors/symptoms.
The only thing that would ever be done, test-wise, is a culture.
There are other labs to perform, and maybe some imaging, but overall, it is a clinical diagnosis based on the person’s presentation.
If Scruffy is being honest though, he has never seen or treated a necrotizing fasciitis case.
It is fairly rare.
This post was edited on 5/11/18 at 11:30 am
Posted on 5/11/18 at 11:28 am to TDsngumbo
quote:Sure. It may be resistant to Mupirocin, or become resistant over time.
Will it be able to come back even though I put it in my nose every day?
quote:The nose isn’t the only location. It exists simply on the skin as well.
Also, if I get rid of it in my nose, will it be able to pop up in boils/skin infections in other areas of my body?
Essentially, you cannot irradicate it completely. Sorry.
This post was edited on 5/11/18 at 11:40 am
Posted on 5/11/18 at 11:36 am to Scruffy
quote:
Also, if I get rid of it in my nose, will it be able to pop up in boils/skin infections in other areas of my body?
The nose isn’t the only location it exists simply on the skin as well.
Essentially, you cannot irradiate it completely. Sorry
I don't like you. I'd like a second opinion
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