Much better to get than an MRSA infection. MSSA is what we like to see on culture results if the patient has a bacterial infection. It's easy enough to treat with standard run of the mill antibiotics.
Thrombocytopenia is usually secondary to some other underlying condition. Physicians are often quick to blame medications for causing thrombocytopenia and while there are plenty of medications that can cause it, it can also occur due to disease states or even spontaneously.
ESRD = end stage renal disease. Not a test, but a condition. The kidneys are functioning at a bare minimum and oftentimes, people who have ESRD are either on dialysis or will need it very soon.
The vancomycin is not necessary for the MSSA infection. Simple amoxicillin would clear that up. However, the cellulitis necessitates a stronger antibiotic as MRSA (methicillin resistant Staph aureus) is often the cause of cellulitis.
If I'm right, Vanc- should be a antibiotic to deal with the sepsis infection and hopeful help with the inflammation. They be taking regular blood culture to monitor the infection to see if antibiotics are working.
I think that there might be a need for physical therapy later on.
1. Myositis is muscular inflammation, which could result from many causes.
2. MSSA is methicillin-sensitive Staphylococcus aureus, as opposed to methicillin-resistant S. aureus. This means the antibiotics will kill it. The vancomycin should clear it up. This probably caused the myositis and the cellulitis.
3. Thrombocytopenia - great that it is resolved. Platelet formation can be inhibited for lots of reasons.
4. End-stage renal disease. Was a dialysis catheter the culprit?
5. Cellulitis is any inflammation of the skin, for any number of reasons. You'll see cellulitis around a zit or an insect bite.
The catheter was the suspected pathway, yes. The only inpat px were removing the one put in at Baylor a couple months ago and a new one was sited a couple days later.
I must admit a chuckle - this post was to share with those wondering how Dave's doing - I already knew the Dx terms. The worst thing is the repeated Staph A. Hx. Thank $DEITY it's MSSA.
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no subject
Date: 2009-01-24 02:33 am (UTC)Sorry I can't do more, I hope this helps.
MSSA ?, Sepsis- infection, secondary to line infection? possible that infection may have enter body through catheter
thrombocytopenia- reduction in the number of plates, most common cause of bleeding disorders.
ESRD ? if I'm right it a test relating to inflammation
Cellulitis - acute infection of the skin and subcutaneous tissue (may be related to diabetes)
no subject
Date: 2009-01-24 02:50 am (UTC)Much better to get than an MRSA infection. MSSA is what we like to see on culture results if the patient has a bacterial infection. It's easy enough to treat with standard run of the mill antibiotics.
Thrombocytopenia is usually secondary to some other underlying condition. Physicians are often quick to blame medications for causing thrombocytopenia and while there are plenty of medications that can cause it, it can also occur due to disease states or even spontaneously.
ESRD = end stage renal disease. Not a test, but a condition. The kidneys are functioning at a bare minimum and oftentimes, people who have ESRD are either on dialysis or will need it very soon.
The vancomycin is not necessary for the MSSA infection. Simple amoxicillin would clear that up. However, the cellulitis necessitates a stronger antibiotic as MRSA (methicillin resistant Staph aureus) is often the cause of cellulitis.
no subject
Date: 2009-01-24 02:53 am (UTC)no subject
Date: 2009-01-24 03:24 am (UTC)They got aggressive: IV vanco, gentamicin, & nafcillin.
The ID doc was a nice chunk of bear-daddy eye candy - couldn't place his accent though - colonial British Africa was as close as I could work out.
no subject
Date: 2009-01-24 04:00 pm (UTC)no subject
Date: 2009-01-24 04:30 am (UTC)Nothing to do with diabetes. ESRD is End Stage Renal Disease, the last stage of kidney disease. This all stems from a complication from hemodialysis.
no subject
Date: 2009-01-24 02:40 am (UTC)I think that there might be a need for physical therapy later on.
no subject
Date: 2009-01-24 02:52 am (UTC)2. MSSA is methicillin-sensitive Staphylococcus aureus, as opposed to methicillin-resistant S. aureus. This means the antibiotics will kill it. The vancomycin should clear it up. This probably caused the myositis and the cellulitis.
3. Thrombocytopenia - great that it is resolved. Platelet formation can be inhibited for lots of reasons.
4. End-stage renal disease. Was a dialysis catheter the culprit?
5. Cellulitis is any inflammation of the skin, for any number of reasons. You'll see cellulitis around a zit or an insect bite.
I'm glad things are getting better!
no subject
Date: 2009-01-24 03:16 am (UTC)I must admit a chuckle - this post was to share with those wondering how Dave's doing - I already knew the Dx terms. The worst thing is the repeated Staph A. Hx. Thank $DEITY it's MSSA.
no subject
Date: 2009-01-24 03:19 am (UTC)no subject
Date: 2009-01-24 03:26 am (UTC)Thanks, Bubba.