It hurts when she opens her mouth, chews food or swallows. A year-old woman with a past medical history of diabetes comes to your ED with the complaint of right-sided facial swelling for three days. She states the area is painful and hurts when she opens her mouth, chews or swallows. She recalls a subjective fever but has not taken her temperature.
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Cefepime Meropenem Cephalexin, a first-generation cephalosporin, is a relatively broad-spectrum antibiotic that has excellent gram-positive coverage. It is particularly effective in the treatment of skin infections caused by group A Streptococcus and S aureus and is considered a first-line agent for the treatment of cellulitis. The patient had already failed to respond to ceftriaxone, a third-generation cephalosporin with broader coverage and similar activity against Streptococcus and Staphylococcus species. Ceftriaxone also has greater efficacy against resistant organisms, but like cephalexin, it does not have activity against methicillin-resistant S aureus MRSA. Unfortunately, MRSA has become a much more common cause of cellulitis, even in the community. The team chose to initiate vancomycin therapy to treat a potential MRSA infection. Neither cefepime nor meropenem is active against MRSA, and neither was considered as a single agent in this case.
What Causes Facial Edema? Lee Francis The face becomes swollen and puffy when fluid accumulates in the facial tissues. Facial edema, also known as facial swelling, can occur in a number of diseases and conditions. According to MedlinePlus, individuals should monitor their symptoms to determine the cause of facial edema in addition to other associated symptoms, such as pain, fever, breathing difficulties and red eyes. Although most common causes of facial edema do not require attention, a medical professional should be contacted if swelling continues to increase and causes severe pain.
See your healthcare provider immediately if you have facial swelling. Swelling caused by a bee sting If a venomous bee sting caused the swelling, remove the stinger immediately. Tweezers can pinch the stinger, causing it to release more venom. Use a playing card instead: Press down on the skin in front of the stinger Gently move the card towards the stinger.