A 23-year-old man presented to the ED with rapidly progressive left arm pain and erythema. He was well until the previous night when his left finger got injured during a hockey game. Overnight the finger became increasingly painful, with erythema spreading to the wrist. Examination On presentation, his body temperature was 98.1°F, HR= 64bpm, and BP= 139/85mm Hg. The physical examination revealed small blisters or abscess on his left third finger. The finger was warm, tender, erythematous streaking was seen till the elbow.
In a while, streaking progressed to the axilla. Drainage from the finger was cultured. The patient quickly underwent incision and drainage of the lesion, and cefazolin and vancomycin were initiated. Culture data revealed Streptococcus pyrogens. Which antibiotics would you prescribe in the case of Streptococcus pyogenic infection? *This case is from Docplexus editorial…
