Can you submit my actino case to grand rounds?

“Immune deficient patient cultured positive to actinomyces and streptococcus in November 2015, a complication from the removal of an inflamed salivary gland. Current standard treatment is Penicillin for a year, however due to patients pre-existing immune deficiency, two years of IV pencilliin alternating with IV Meropenam have not cleared infection. Patient admits to some compliance issues, due to keeping fungal infections in check, but mostly she has kept on treatment regiment. Multiple ultrasounds show inflamed lymph nodes, most likey due to this infection. Patient has also had two subsequent surgeries to drain cysts, but it still not brought a resolution. NIH reports a similar case of a young girl with Immune deficiency, also with actino, who cleared it with IV Levaquin and IV Cefriance for one month. Any thoughts or suggestions on a treatment course, either western or eastern medicine, would be greatly appreciated.”

I think if you ask some medical students or residents, they might come up with some creative answers…we old timers tend to get stuck in our own ways, it might be interesting to hear what some young enthusiastic minds think 🙂

This entry was posted in Uncategorized. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s