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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Mild Fever, Diarrhea And Nausea. Blood Culture Showing Staphylococcus Hominis. Taking Ciprofloxacin. Correct Medication? Dark Spots On The Skin

Hi My wife is suffering from mild fever for last 10 Days, with Diarrhea and nausea We did a blood culture and found staphylococcus hominis, Doctor prescribed Ciprofloxacin and she is continuing taking it for 5 days, but the fever is not completely gone, is this the correct medication? She is also having dark spots on the skin for last 1-2 years could this condition be related to the above bacteria? is Ciprofloxacin safe medicine in case we are planning for a baby? her home pregnancy test is still negative but we are not sure..
Thu, 9 Aug 2012
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Internal Medicine Specialist 's  Response
Hi Nikunj,
Welcome to healthcare magic!
The Staphylococcus hominis is a gram positive bacteria which lives on human skin as a commensal which means it does not cause infections in normal persons.
It might have grown due to a contaminated sample from skin.
Your wife seems to have some gut infection- bacterial or viral.
Ciprofloxacin is appropriate in most cases but if no response even on 5th day then you can think of adding the Metronidazole and a probiotic- Econorm sachet in the doses you physician will know.
You should repeat blood and urine cultures right now and get Tested for Enteric fever and Malaria through your physician.
I hope this advise would be helpful for you.

Still if you have any queries or doubts, please write me back,
I would be happy to solve them.

Wish you a great health!
I find this answer helpful
General & Family Physician Dr. Kulbir Singh's  Response
Hello and thanks for writing in at HCM
As you have explained you have done Blood culture so you have list of drugs in the report which are resistant and sensitive to the bacteria (Staphylococcus). If Cipro is in sensitive list than you are taking a right drug. As your doctor has prescribed you so it may be right.
But you have still suffering from fever, so in my opinion you must add an another drug which is sensitive to the bacteria to your treatment. Consult your doctor for the choice of drug.
As per pregnancy is concern delay it till the infection is cured and if you are in doubt than ask you doctor to select a drug which is safe for pregnancy.
Hope you got your answer
Best Wishes
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Having Mild Fever, Diarrhea And Nausea. Blood Culture Showing Staphylococcus Hominis. Taking Ciprofloxacin. Correct Medication? Dark Spots On The Skin

Hi Nikunj, Welcome to healthcare magic! The Staphylococcus hominis is a gram positive bacteria which lives on human skin as a commensal which means it does not cause infections in normal persons. It might have grown due to a contaminated sample from skin. Your wife seems to have some gut infection- bacterial or viral. Ciprofloxacin is appropriate in most cases but if no response even on 5th day then you can think of adding the Metronidazole and a probiotic- Econorm sachet in the doses you physician will know. You should repeat blood and urine cultures right now and get Tested for Enteric fever and Malaria through your physician. I hope this advise would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them. Wish you a great health!