From:
Sent:
To: drgian@stdweb.com
Subject: Oral ChlamydiaI had oral sex
with a new partner and 2 days later developed swollen glands in my neck
and a sore throat. The back of my throat has a yellow coating, which is
not the typical appearance of strep. I have been cultured for GC and
Chlamydia, and was given Augmentin for 10 days. After reading your site,
it seems that this is the incorrect antibiotic to treat both infections.
Is the dose and/or antibiotic different for oral infections? What should
the treatment be? I am a health professional and have access to samples
and do not want to pay another copay just ot change the antibiotic. I do
not want to wait for test results as my throat is very uncomfortable. 24
hours of dosing has not decreased the sx at all.
Hello,
Augmentin is a
valid treatment for strep pharyngitis but for Chlamydia pharyngitis the
treatment of choice is Doxycicline HCl 100 mg every 12 hours for seven
days or a single dose of 1 gm of Zithromax.
Be well.
Dr. Gian
From:
Sent:
To: drgian@stdweb.com
Subject: Oral Chlamydia
Thank you for your response, but I also need to
know the dosing for GC. I took Cipro 500mg x 1 dose as recommended by
the CDC, but continue to have the yellow drainage in the back of my
throat as well as a burning sensation in my sinuses. There is also
significant periorbital pain. I am trying to keep this out of my regular
medical records because the tests are done at my work. I took a course
of Zithromaz and it helped some, but still have this residual problem
with sinus pain. I really appreciate your assistance.
Hi,
One single Cipro 500mg is OK coverage for Gonorrhea unless you live in
Hawaii or California where Gonorrhea is developing resistance. Or a good Rocephin 125 mg shot should do it. However, remember that sore throats
and sinusitis are usually due to garden variety of bacteria and that is
what is probably going on here
Dr. Gian
From:
Sent:
To: drgian@stdweb.com
Subject: Oral Chlamydia
You don't need to reply to this, but I wanted to let you know that I
appreciate your assistance more than you can ever know. By the way, I do
live in CA. The MD who did the throat culture at my request (GC and
Chlamydia) seemed very uncomfortable with the idea. I have been trying
to get the results for 1 week. I think they are positive and so they are
uncomfortable letting me know. I've called 4 times and they keep saying
they will get back to me. I'll go into the office next week if no call
over the weekend and do a little pushing.
Again, thanks for a very meaningful service.
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