s******g
发帖数: 21 | 1 An 8-year-old daughter of a Chinese friend caught fever over 104 since
Friday. Neither Motrin nor Tylenol could subdue the fever. At the same time,
she developed acute leg pains. Administered in Shady Grove hospital on
Tuesday, still with high fever and leg pains, even after morphine. Today the
blood test showed that the staph aureus bacteria in her blood. Doctors at
Shady Grove hospital gave her vancomycin, so far still no apparent
improvement. Look forward your help or recommendations. Thanks a lot! | l**n
发帖数: 7272 | | G*******9
发帖数: 4371 | | B****J
发帖数: 586 | 4 孩子已经在医院，医生是对症下药，MRSA 抗药性很强，很难对付，没几个可以选择的
药，万古霉素是最常用的。再稍微等等，需要一定时间起作用。这孩子是在米国长大的
还是在中国长大的？这边控制抗生素比较严格，希望这药有效！另外，发烧这么高温度
，怎么等了三四天才去见医生？星期五，六，日，一 都没给儿科医生打电话？唉，只
能祝福了！
Friday. Neither Motrin nor Tylenol could subdue the fever. At the same time,
she developed acute leg pains. Administered in Shady Grove hospital on
Tuesday, still with high fever and leg pains, even after morphine. Today the
blood test showed that the staph aureus bacteria in her blood. Doctors at
Shady Grove hospital gave her vancomycin, so far still no apparent
improvement. Look forward your help or recommendations. Thanks a lot!
【在 s******g 的大作中提到】
: An 8-year-old daughter of a Chinese friend caught fever over 104 since
: Friday. Neither Motrin nor Tylenol could subdue the fever. At the same time,
: she developed acute leg pains. Administered in Shady Grove hospital on
: Tuesday, still with high fever and leg pains, even after morphine. Today the
: blood test showed that the staph aureus bacteria in her blood. Doctors at
: Shady Grove hospital gave her vancomycin, so far still no apparent
: improvement. Look forward your help or recommendations. Thanks a lot!
| n****y
发帖数: 1220 | 5 有没有确诊是什么感染？ 皮肤或软组织感染，菌血症？？？
请医生查most recent CDC guideline for MRSA treatment.
if it is bacteremia, 可能需要vancomycin 15 mg/kg/dose IV every 6 h for 2-6
weeks
给你贴了个link，供你和医生参考。
http://cid.oxfordjournals.org/content/52/3/e18.full
希望能帮到你！
time,
the
【在 s******g 的大作中提到】
: An 8-year-old daughter of a Chinese friend caught fever over 104 since
: Friday. Neither Motrin nor Tylenol could subdue the fever. At the same time,
: she developed acute leg pains. Administered in Shady Grove hospital on
: Tuesday, still with high fever and leg pains, even after morphine. Today the
: blood test showed that the staph aureus bacteria in her blood. Doctors at
: Shady Grove hospital gave her vancomycin, so far still no apparent
: improvement. Look forward your help or recommendations. Thanks a lot!
| s******g
发帖数: 21 | 6 Doctor confirmed that it is not MRSA.Thank you!
It is bacteremia, but not MRSA, it is MSSA, the easier treatable staph
aureus.
Here is the latest update:
1. Her physical condition is much better day, not too much pain
2. Still has fever
3. Blood result shows white blood cell being 10 today, 7 yesterday and 4 on
Tuesday, so showing a slow increase not decrease
4. Blood crp is 16 today, 14.4 yesterday and 11 on Tuesday, also increasing
slowly
5. The 2nd day blood culture found no bacteria growth. | n****y
发帖数: 1220 | 7 那就可以等一等，至少2个星期。 你如果想confirm一下医生的处置，我还是建议你看
看cdc的guidelines。 |
|
