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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking A Amoxicillin Or Cephalexin Advisable For Itchy Skin Rashes?

Hi, I am a visitor from Australia and was bitten by a mosquito on my ankle approx. 6 weeks ago. Since then, there is a dry small rash but the skin has not been broken. It is constantly itchy. Recently I put a cortisone ointment and it is still itchy. I suspect it is a Buruli ulcer (mycobacterium) which is being reported as a problem in that area. I am traveling with 2 types of oral antibiotics, 1. Cephalexin 2. Amoxicillin & clay. Do u think I should try one of these, or what do u suggest? Many thanks carmella
Fri, 24 Feb 2017
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Infectious Diseases Specialist,  's  Response
Hello Carmela!
I have been through your question.
Related your concern you should know when Buruli ulcers are identified early and treated appropriately with antibiotics, the prognosis is good and not need a surgery. If treatment is delayed, surgical debridement, skin grafts, extensive wound care, and physical therapy may be needed for the sequelae. What I suggest for you in conditions that you have to choose between two antibiotics is oral cephalexin, although the best choice of treatment of mycobacterium ulcers is combination of rifampicin with streptomycin for 4-8 weeks.
I hope my answer helps you.
I wish you a quick recovery.
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Is Taking A Amoxicillin Or Cephalexin Advisable For Itchy Skin Rashes?

Hello Carmela! I have been through your question. Related your concern you should know when Buruli ulcers are identified early and treated appropriately with antibiotics, the prognosis is good and not need a surgery. If treatment is delayed, surgical debridement, skin grafts, extensive wound care, and physical therapy may be needed for the sequelae. What I suggest for you in conditions that you have to choose between two antibiotics is oral cephalexin, although the best choice of treatment of mycobacterium ulcers is combination of rifampicin with streptomycin for 4-8 weeks. I hope my answer helps you. I wish you a quick recovery.