Problem: A 35-year-old man presents to the ED complaining of a hip abscess where he injects heroin. He reports a past medical history of being positive for human immunodeficiency virus (HIV). His temperature is 38.1 "C (100.6 "F), and there is a 10 x 10 cm circular area of erythema and induration on the lateral buttock without fluctuate. Which of the following is the best management for this patient? Need Assignment Help?
A Describe oral cephalexin for cellulitis and instruct the patient to return in 24 hours for reassessment. OB Attempt needle aspiration at the center of the infection, and if negative, cover with oral antibiotics. OC Search for an abscess with bedside ultrasound and establish an intravenous (IV) line in anticipation of a drainage procedure and admission for IV antibiotics. OD Consult a surgeon immediately for suspected necrotizing soft tissue infection (NSTI)