Question

Pt presents with uncomplicated cellulitis on his foot. He tells you that it came out of nowhere and you find him to be slightly feverish and feeling awful. Would you cover for S. aureus in this case?

a) Yes, it should be considered
b) No, it's unlikely

Answer 1

Yes, S. aureus should be considered when treating a patient with uncomplicated cellulitis on the foot, especially given the systemic symptoms. S. aureus is commonly associated with such skin infections, and it is essential to factor in its potential resistance to antibiotics.

Step-by-step explanation:

Yes, it would be appropriate to cover for Staphylococcus aureus (S. aureus) in the case of a patient presenting with uncomplicated cellulitis on his foot. This is because S. aureus is a common cause of skin and soft tissue infections, including cellulitis. Furthermore, the patient's symptoms of fever and feeling awful suggest a systemic infection, which is consistent with S. aureus. Considering the prevalence of community-acquired and hospital-acquired S. aureus infections, and the potential for antimicrobial resistance, such as methicillin-resistant S. aureus (MRSA), empiric antibiotic therapy should take into account the likelihood of this organism. In addition, other case studies and clinical focuses support S. aureus as a significant concern in skin infections; patients with cellulitis often have lab confirmation of both S. aureus and Streptococcus pyogenes in their wounds.