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Case 2: Why haven’t these boils responded to antibiotics?
For the past 5 years, a 30-year-old woman has had boils on her groin. She has tried at least 3 different antibiotics over the years, but none of them have been effective. She is otherwise healthy; the only medication she takes regularly is an oral contraceptive.
For the past 5 years, a 30-year-old woman has had boils on her groin. She has tried at least 3 different antibiotics over the years, but none of them have been effective. She is otherwise healthy; the only medication she takes regularly is an oral contraceptive.
Which of the following do you suspect?
A. Staphylococcal infection.
B. Methicillin-resistant Staphylococcus aureus infection.
C. Gram-negative folliculitis.
D. Hidradenitis suppurativa.
E. Herpes simplex.
Case 2: Hidradenitis suppurativa with secondary infection
Hidradenitis suppurativa, D, was suspected; culture revealed both conventional S aureus,A, and Pseudomonas aeruginosa, C. The patient was treated for both infections, and topical dapsone was prescribed as an anti-inflammatory agent.
Herpes simplex would appear as grouped vesicles on an erythematous base.
The patient suspects poison ivy caused this recurrent rash-do you agree?
