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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Recurrences Of Tonsil Abscess After Draining Of Puss. On Penicillin, Gentamicin. Can I Take Clindamycin? Is This Staphilococcus?

I ve had a tonsillary abscess 3 weeks ago. It was surgically drained and I ve had administered intravenously 2 000 000 units penicillin and 1 gentamicin for 8 days, each 12 hours. I felt very well in the last 3 days of treatment, but just 2 days after, it recurred. It was less painful than the first one, but the inflammation was bigger. The doctor drained and searched for puss for 5 consecutive days (no puss found in the last day), while I continued same antibiotics treatment. Again I felt good, but again, only for 2 days. This is already the third consecutive round of same penicillin/gentamicin treatment with even more search for puss (none found). What do you think if I suggest the doctor to continue with 3 or 4 days of clindamycin , as I suspect I have staphilococcus aureus which is very resistent to penicillin ?
Fri, 12 Jul 2013
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General & Family Physician 's  Response
hi.. thanks for using HCM..
you have recurrent tonsillar abscess, which is not responding to the penicillin..
get one throat swab culture and sensitivity, and take treatment accordingly.. see your ENT surgeon for this..
after that discuss about the tonsillectomy with the surgeon..
all the very best..
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Having Recurrences Of Tonsil Abscess After Draining Of Puss. On Penicillin, Gentamicin. Can I Take Clindamycin? Is This Staphilococcus?

hi.. thanks for using HCM.. you have recurrent tonsillar abscess, which is not responding to the penicillin.. get one throat swab culture and sensitivity, and take treatment accordingly.. see your ENT surgeon for this.. after that discuss about the tonsillectomy with the surgeon.. all the very best..