Mac Panichsillapakit
@macpanich.bsky.social
Infectious Diseases Physician, Transplant Infectious Diseases Physician, Hard-To-Heal Wounds Physician @ Mizzou
Hello #IDSky community
60 M w/cerebral HW-related epidural abscess s/p HW removed
Pus Cx w/Steno maltophilia (S - Mino, Levo, TMP/SMX).
On TMP/SMX DS 3 tab TID. Had severe hyponat a wk later (likely TMP/SMX)
Reduce TMP/SMX❓
Levo❓
Cefiderocol❓
Ceftaz-avi + aztreo❓
Others❓
Any thoughts?
60 M w/cerebral HW-related epidural abscess s/p HW removed
Pus Cx w/Steno maltophilia (S - Mino, Levo, TMP/SMX).
On TMP/SMX DS 3 tab TID. Had severe hyponat a wk later (likely TMP/SMX)
Reduce TMP/SMX❓
Levo❓
Cefiderocol❓
Ceftaz-avi + aztreo❓
Others❓
Any thoughts?
December 5, 2024 at 3:56 PM
Hello #IDSky community
60 M w/cerebral HW-related epidural abscess s/p HW removed
Pus Cx w/Steno maltophilia (S - Mino, Levo, TMP/SMX).
On TMP/SMX DS 3 tab TID. Had severe hyponat a wk later (likely TMP/SMX)
Reduce TMP/SMX❓
Levo❓
Cefiderocol❓
Ceftaz-avi + aztreo❓
Others❓
Any thoughts?
60 M w/cerebral HW-related epidural abscess s/p HW removed
Pus Cx w/Steno maltophilia (S - Mino, Levo, TMP/SMX).
On TMP/SMX DS 3 tab TID. Had severe hyponat a wk later (likely TMP/SMX)
Reduce TMP/SMX❓
Levo❓
Cefiderocol❓
Ceftaz-avi + aztreo❓
Others❓
Any thoughts?