Mednet Logo
HomeDermatologyQuestion

How do you treat gram-negative folliculitis in a transplant patient on sirolimus who cannot use isotretinoin due to drug interactions?

1
2 Answers
Mednet Member
Mednet Member
Dermatology · Thomas Jefferson University Hospital

The most critical issue with these infections in the immunocompromised host is the correct identification of the organism and its sensitivities to allow appropriate selection and course of antibiotics.

Because the infection is deep in the hair follicle and the patient will shave the area, there is a...

Register or Sign In to see full answer

Mednet Member
Mednet Member
Dermatology · Modern Dermatology, Inc.

Considering that Isotretinoin has a fairly short list of medication interactions, I would consider if the potential interacting medication is amenable to a therapeutic alternative.

After trialing topical options, as contributors have suggested, getting an accurate sampling of the major culprit organ...

Register or Sign In to see full answer