Internal Medicine

0521779407-07 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:10

582 Folliculitis and Furunculosis Food Allergies

■Clean hot tub when appropriate

Recurrent lesions

■Culture nares to exclude the possibly of nasal carriage.

■Treat nasal carriers with intranasal mupuricin ointment BID for

5 days.

■Consider the addition of oral rifampin.

■Culture and sensitivity results dictate therapy.

Side Effects

■Inappropriate use of antibiotics may lead to antimicrobial resistance.

■Candidiasis – vaginal, oral or intertriginous

follow-up

■Assess resolution after completing a 10-day course of antibiotic ther-

apy.

■Assess improvement in hygiene.

■For patients with recurrent disease – look for the source; nasal car-

riage of Staphylococcus aureus or a family member may be the carrier

complications and prognosis

■Bacteremia or sepsis, particularly in an immunocompromised

patient

■Reactions to antibiotics – e.g., psuedomembranous colitis, Stevens-

Johnson syndrome

Food Allergies.......................................

JAYSHREE MATADIAL, MD and SUZANNE M. MATSUI, MD

history & physical

History

■True food allergy estimated to occur in 4–5% of young children and

1–2% of adults

■History of exposure to common food allergens: cow’s milk, eggs, nuts,

shellfish soybeans, wheat, fruits, vegetables (glycoproteins) shellfish

soybeans, wheat, fruits, vegetables (glycoproteins)

■History of previous food intolerance: note type of food, quantity of

suspected food ingested, time between ingestion and onset of symp-

toms, type and duration of symptoms

■History of atopy or allergy: e.g. oral allergy syndrome in patients

with pollen induced rhinitis, GI anaphylaxis in patients with skin