2007-07-13 00:56:11 UTC
rash under my arms for several weeks. I went to see the doctor a
couple weeks ago, she thought it might be fungal and thankfully took a
culture of the skin, after which she prescribed an antifungal agent.
When the results of the culture came back, the results indicated
enterococcus. I did some research about enterococcus and it appears
to be quite a nasty bug. I am currently taking Macrobid, but I have
been reading about the drug resistance to various antibiotics.
One question I had was whether Macrobid is still effective in treating
enterococcus in general. I'm not sure whether my culture indicated if
this particular strain of bacterium was sensitive to Macrobid, but I'm
guessing and hoping that it was. I'm going to talk to my doctor to
make sure that the particular strain is sensitive. Another question I
had was what precipitates antibiotic resistance in a particular
person? I have a spinal cord injury and have had numerous urinary
tract infections due to my condition even though I am very rigorous
about hygiene and fortunately do not have an indwelling catheter but
rather an external one. I had a bad UTI in October 2006, but the
bacteria was E. coli that time. Nonetheless, the E. coli did not seem
responsive to Macrobid, but Levaquin was able to eradicate it.
However, as a precaution, my doctor put me on prophylactic Macrobid
(I'm still not sure why, see above) for one month. I finished the
course of Macrobid in December 2006. I'm curious as to whether this
enterococcus I have now could have become resistant to Macrobid when I
was on it prophylactically? Because enterococci are normally found in
the intestine, I'm perplexed as to why I have an outbreak under my
arms and nowhere else? I bathe every day, and it makes no sense that
only my armpits were affected and how the bacteria got there if it is
an intestinal strain. Are there any species of enterococci which are
native to skin or perhaps sweat? That is my theory as to the cause of
the infection. I also wonder about whether using a coat of Betadine
under my arms would help to inhibit the infection. I read somewhere
that Betadine could prevent growth of enterococcus.
I'm going to discuss all of these questions with my doctor, but I
welcome any insight.
Thank you very much for your consideration.