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Questions on Lemierres

Posted on September 22, 2008

Woody writes:1. Do not use macrolides (erythromycin or azithromycin) as empiric therapy for pharyngitis. Stick with penicillin or cephalosporins. Macrolides do not treat Fusobacterium necrophorum.in the patient who has pencillin allergy (non-anaphylactic), and unwilling to accept the 10% chance of cross-reactivity with cephalosporins, are you then choosing clindamycin rather than a macrolide?First, I always make certain that the patient really does have a penicillin allergy. With a history of rash, I favor using a cephlosporin. Clindamycin is probably a reasonable second choice.2. Rememb...

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adolescents , allergy , hiv