update #3: seeing the light of the tunnel

this is the continuation of the report on hiking and illness near las vegas bbs.wenxuecity.com/health/456561.html

after transferred to regular room, dw was giving vancomycin by iv.  after 3 doses, she still had fever of 101 deg of f thus having to take ibuprofen every 6 hours; skin condition was continuing to spread though at a slower pace.  the hospital consulted an external id specialist (infecious decease doctor) who came in last night.  he looked at the leg, and immediately pointed out it's not "litis", it had to do with outdoor causes such as insect bites or snake attacks inspite unnoticed.  

he ordered to stop further using vancomycin instead iv doxycycline.  amazingly, since the first dose of it at midnight last night, her fever has not returned; and her skin condition seems to be improving... we were convinced the doctor was the guy...

later...

所有跟帖： 

• there are a lot of unknowns this is one of them :) -internuts- ♂ (0 bytes) () 07/09/2014 postreply 15:57:53

• good point. i asked the nurse last night for the culture but st -internuts- ♂ (209 bytes) () 07/09/2014 postreply 17:47:15

• 谢谢分享。咱跟着学习。 -欲千北- ♂ (0 bytes) () 07/09/2014 postreply 15:46:06

• no thanks. i am taking this as a case study :) -internuts- ♂ (0 bytes) () 07/09/2014 postreply 16:24:44

• 仍然是皮肤感染，更换了抗菌素，万古霉素变成了强力霉素，抗菌敏感性增强了。效果明显了。。。 -御用文人- ♀ (0 bytes) () 07/09/2014 postreply 15:58:19

• yes, doxy is a broader spectrum one, like a shotgun vs handgun -internuts- ♂ (0 bytes) () 07/09/2014 postreply 16:15:24

• 祝福！选用抗生素是一门学问，感染病专科医生这方面还是很厉害的。 -viewfinder- ♀ (0 bytes) () 07/09/2014 postreply 16:10:05

• agreed. specialist has the edge on its particular area -internuts- ♂ (0 bytes) () 07/09/2014 postreply 16:22:13

• 我也觉得细菌培养怎么还没有结果有点奇怪，不过体温下来了，说明抗生素有效。 -薛成- ♂ (0 bytes) () 07/09/2014 postreply 16:18:05

• i'll ask a copy of all blood/urine/xray as well as culture repor -internuts- ♂ (0 bytes) () 07/09/2014 postreply 16:39:33

• 还惦记着你太太呢，这回对症下药了，祝她尽快地好起来。等你下一次的update。 -goingplace- ♀ (0 bytes) () 07/09/2014 postreply 16:26:06

• thank you... will do... -internuts- ♂ (0 bytes) () 07/09/2014 postreply 16:40:55

• Thanks for bringing us the update. All the best to your wife's r -这年头谁怕谁- ♀ (0 bytes) () 07/09/2014 postreply 17:35:10

• thanks to above two of you!! -internuts- ♂ (0 bytes) () 07/09/2014 postreply 17:40:42

• 祝福！谢谢分享！虫子嘴脏，不一定能培养出东西来。用抗菌谱广的make sense。 -志在千里- ♀ (0 bytes) () 07/09/2014 postreply 17:06:15

• 不可能知道是啥虫子，更不知道虫子嘴里有啥，毒素，细菌，酶。。。临床上改善就好。上天保佑您太太！等她恢复了告诉我们她当时穿的是什么 -志在千里- ♀ (245 bytes) () 07/09/2014 postreply 17:15:52

• Exactly that was how the id doc said, so he chose a wider spectr -internuts- ♂ (0 bytes) () 07/09/2014 postreply 17:39:46

• she wore walking shoes and open end trousers. about 1 inch above -internuts- ♂ (273 bytes) () 07/09/2014 postreply 17:57:58

• 有道理。就像被动物咬了一样。 -薛成- ♂ (0 bytes) () 07/09/2014 postreply 18:43:02

• 虫咬和身体的反应本身就可引起发热和其他全身性反应，不一定需要细菌。当然细菌现在肯定有，而且刚刚被消灭了很多。 -志在千里- ♀ (3425 bytes) () 07/09/2014 postreply 17:49:26

• this is a good explanation. it looks like fitting my wife's sym -internuts- ♂ (0 bytes) () 07/09/2014 postreply 18:01:45

• 非常感谢你在百忙之中抽空贴出后续和反馈，涨姿势啦！ -恶俗老狼- ♂ (0 bytes) () 07/09/2014 postreply 18:12:20

• 平时在健坛收益颇深，现在出了点事作为案例跟大家分享，应该的。谢老狼！ -internuts- ♂ (0 bytes) () 07/09/2014 postreply 18:49:36

• 以前没经验。有的真是蛮厉害的。吃一堑长一智了。 -internuts- ♂ (0 bytes) () 07/09/2014 postreply 18:57:36

• 复杂的问题必定有个简单方法可以解决，有一样寻常食物就可以解这毒 -医者意也- ♂ (51 bytes) () 07/09/2014 postreply 19:36:15

• 算了，还是不说的好，否则坛子里的人以后不断的拿出来敲打几句就没意思了 -医者意也- ♂ (0 bytes) () 07/09/2014 postreply 20:44:59

• 我愿意向您学习，QQ 给我好吗？ -御用文人- ♀ (0 bytes) () 07/09/2014 postreply 22:09:09

• 排队在御医之后 -随意- ♀ (0 bytes) () 07/09/2014 postreply 23:30:53

• 已发QQH， -医者意也- ♂ (0 bytes) () 07/10/2014 postreply 07:06:05

• 收到，谢谢！ -随意- ♀ (0 bytes) () 07/10/2014 postreply 07:27:14

• 已发QQH， -医者意也- ♂ (0 bytes) () 07/10/2014 postreply 07:04:34

• 这招有人已经使过了，老用就没人信了，应该换个噘头升级了 -指挥家- ♂ (229 bytes) () 07/10/2014 postreply 05:55:27

• 有些虫子咬人时还inject了一点麻药进皮肤。让您根本不知道被咬。 不知道那看来的，但肯定不是我的原创。 -志在千里- ♀ (0 bytes) () 07/09/2014 postreply 19:07:00

• 再次谢谢您在百忙中写的贴！祝福您太太早日康复！ -志在千里- ♀ (0 bytes) () 07/09/2014 postreply 19:08:56

• Possible RMSF -雾里看花123- ♂ (0 bytes) () 07/09/2014 postreply 19:19:21

• 有可能，ID 医师肯定考虑到这一点了。 打电话给CDC也应该和这些事情有关。可惜要事后才能靠血清学知道。 -志在千里- ♀ (31 bytes) () 07/09/2014 postreply 19:50:17

• 祝福她早日康复.ID医生的介入很好. -闽姑- ♀ (0 bytes) () 07/09/2014 postreply 19:20:37

• Rocky Mountain Spotted Fever (RMSF) -志在千里- ♀ (2326 bytes) () 07/09/2014 postreply 19:53:43

• you all are a group of the most caring people i have ever met in -internuts- ♂ (0 bytes) () 07/09/2014 postreply 20:37:11

• oops just saw a typo on my post -internuts- ♂ (130 bytes) () 07/09/2014 postreply 22:26:02