SAQ 1023 – Infected cat bite with immediate penicillin allergy

A 56-year-old veterinary nurse presents to ED 16 hours after a cat bite. She is otherwise well, with no relevant past history or regular medicines. She is afebrile with normal vital signs.

The photograph is shown.

Describe the findings in the photograph.

(Marked out of 3.0)

/ 3

Name the three most likely causative agents for this infection.

(Marked out of 3.0)

/ 3

Describe clinical or other features suggesting admission for IV antibiotics and give the reasoning for each.

(Marked out of 8.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Clinical finding</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Reason</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 8

She reports lip swelling and wheeze after Augmentin two years ago and was told she is allergic to penicillins. What initial antibiotic therapy would you commence?

(Marked out of 4.0)

/ 4

Total Score: 0 / 18

Percentage: 0%