This man presented to ER with left leg cellulitis and was given ancef and probenecid. Then he was admitted, abx changed to ceftriaxone. Now 4 days of therapy and leg hasn’t worsened but hasn’t improved either. PMH – type II DM, HTN, bipolar, prostate (?), dyslipidemia. Also hyperkalemia and r/o DKA on admission. Vomiting at triage. Physician in hospital is not regular GP. Not febrile but using PRN acetaminophen. MRP asked me to review antibiotic management.
What would you do?
See my thoughts here Red Leg 1 Discussion