skin ulcer from radiotherapy

[XRT_doc]

What oral antibiotic would you prescribe for a patient who developed a skin ulcer after radiotherapy?

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[Gfunk6]

Generally we give Keflex for skin infections.


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[seper]

Silvadene.

 

[medgator]

Silvadene. It has antimicrobial properties but if you really think it looks infected, throw in a course of oral keflex as well

 

[evilbooyaa]

Skin Ulcer? You mean like desquamation?

Acute tox? Late tox? surrounding erythema? itching/tenderness? fevers/chills? what are you treating and where is it?

Big difference between a skin ulcer which is desquamation from say a breast cancer 4 weeks into treatment, vs a skin ulcer at a breast cancer 4 years after treatment

 

[XRT_doc]

Skin Ulcer? You mean like desquamation?

Acute tox? Late tox? surrounding erythema? itching/tenderness? fevers/chills? what are you treating and where is it?

Big difference between a skin ulcer which is desquamation from say a breast cancer 4 weeks into treatment, vs a skin ulcer at a breast cancer 4 years after treatment

I usually give Silvadene cream but since 4 weeks out there's an associated fever I want to give something oral. I'll go with Keflex.

 

[thecarbonionangle]

If you're worried about a skin effection you probably should cover MRSA: doxycycline, minocycline, bactrim, clindamycin, linazolid ($$$$).