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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does being allergic to penicillin mean allergic to neomycin, polymyxin, pramoxine?

My boyfriend is allergic to penicillin . He s had two abnormal skin infections, on they thought was MRSA and now another spot on his leg that started out as a burn. The burn started to heal, he put a triple antibiotic cream on it one night and band-aid while at work, when he came home it looked worse. The next night he accidently put hydrocortisone cream on it with a band-aid and it again got severly worse. A large red, inflammed area that looked raw and was oozing a clear-yellowish pus. He went to his family doctor and was told to go the ER again. They gave him bacitracin ointment to put on it and was told to wrap it up. While it is no longer oozing, the red inflammed area has grown and a red rash has started up his leg. If he is allergic to penicillin could he be allergic to the neomycin , polymyxin and pramoxine in the triple anitboitic, hydrocortisone or bacitrican?
Fri, 1 Mar 2013
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General & Family Physician 's  Response
hi,
thanx for the query.
its really not a straight cut: like wat i mean is the fact that your boyfriend reacted to penicillin does not mean he would react to the triple topical antibiotic regimen.
Yes, they are all antibiotics but belong to different groups. Your boyfriend would more likely to react to the triple regimen if he has reactions to other aminoglycosides like tobramycin,gentamycin etc.
I would suggest a wound/ulcer/ swab for MCS.
hope this was helpful
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