Trea

52 yr female with c/o pain itching and redness at the site of inj of rabies immunoglobulin. No fever No h/o DM , HTN Management??

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? CELLULITIS.. POST INJECTION CELLULITIS.. NEED'S.. LINEZOLID WITH CEFIXIME.. NSAIDS..AS PER NEED. .

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Cellulitis of injection site Need complete evaluation by doing rft CBP and lft Then start inj.augmentin 1 .2 gm IV BD Inj.clindamycin 300 mg IV 3 times a day Inj.pan.40 mg IV od For 5 days Tab.chymoral forte 3 times a day Tab.dolo650 mg daily 3 times a day Leg elevation

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? Thrombophlebitis/post injection cellulitis Broad spectrum antibiotics Anti-inflammatory PHLEBETROY QPS FOR LA ICE SPONGING MAYBE BENEFICIAL

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CELLULITIS ask for CBC ESR Colour doppler to ruled out DVT , /Thrombophlebitis

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Post inj.cellulitis Hot compress Tab.Enzoheal d bdpc 7days Tab.Famtac 40 bdac 7days Tab. Levomac 500 od pc 10 days If swelling persist Give inj.Monocef 1gm +inj.Amikacin 500 bd 5days Tab.Lizomac 600 mg bdpc 5days Rest are same

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Local reaction to immunoglobulin Antihistamines, analgesics , emollients, moisturizers Look for infection . If detected , suggest antibiotics

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Is it the site of inj.?

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