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365: Day 232- The Contagion Continues

Today's update (although the title says it all)-
The (only piece of) good news is that Derek and Zoe are still all clear.
The spot on my neck a little worse overnight, no signs of improvement today.
The tracking rash on Silas' arm, the primary sign of lymphangitis, is so far untouched by antibiotics.
New blisters forming on his hand and legs, hence his hand is wrapped up like a wounded soldier in WWI.


Let me tell you, this is not an e-mail response that wanted to receive tonight after sending Dr. R. today's update.

FML.

******
Alissa, yes, keep using both oral antibiotics + ointment. Trimethoprim etc (Bactrim) for the face (likely staph impetigo). Cephalexin (Keflex) for the arm and blistering elsewhere (proven strep lymphangiitis). Triple Abx ointment for the arm (strep), Mupirocin for the face (staph) just in case. Any other contacts with infection should use triple antibiotic ointment and Penicillin or Keflex (if spreading). Any of you could catch strep throat from this. If sore throat, just gateway or call and I will send in amoxicillin for kids and Penicillin for adults. Discard bar soap. Switch to "Squirt soap". Clean surfaces with disinfectant of some kind. Separate towels. Wash towels in hot with lots of soap. If there are any new infections after Friday, then we will need to resort to staph eradication procedures, so let me know. Dr R

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