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??
? CELLULITIS.. POST INJECTION CELLULITIS.. NEED'S.. LINEZOLID WITH CEFIXIME.. NSAIDS..AS PER NEED. .
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
? Thrombophlebitis/post injection cellulitis Broad spectrum antibiotics Anti-inflammatory PHLEBETROY QPS FOR LA ICE SPONGING MAYBE BENEFICIAL
CELLULITIS ask for CBC ESR Colour doppler to ruled out DVT , /Thrombophlebitis
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
Local reaction to immunoglobulin Antihistamines, analgesics , emollients, moisturizers Look for infection . If detected , suggest antibiotics
Is it the site of inj.?
Cases that would interest you
- Login to View the image
This is a10 yr old male c his of fever and cough 8 days.his of swelling affecting left upper and lower limb associated c pain.o/ e res distress,decreased air entry on left side c e/0 painful pitting edema of Lt upper and lower limb.joint movement restricted. left normal.CBC polymorph I nuclear leucocytosis.urine normal,renal parameters normal. dd
Dr. Mohd Izhar Jaweed1 Like15 Answers - Login to View the image
A female non diabetic pt came with rt leg swelling plz rx & dd
Dr. Khaja Khan Muhammed2 Likes23 Answers - Login to View the image
A 22 years old male complaints of painful rash on right upper extremity since one day. Yesterday, he had acute gastroenteritis for which he received intravenous medication and fluids. Diagnosis and management ?
Dr. Mohammed Parvez5 Likes21 Answers - Login to View the image
pt c/o swelling over injection site containing watery fluid,no pain what is dx and rx
Dr. Pravin Bhos1 Like16 Answers - Login to View the image
48 years old patient with no history of DM and HTN, having complain of discolouration of skin, sometimes itching sensation and swelling after walking for longer duration since 3 Years . Patient consulted many physions and skin specialist but there is no improvement, please advise if other investigations are needed and also treatment.
Piraj Jadav6 Likes19 Answers
5 Likes