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Disclaimer Notice:
Dear Readers! I started this blog when my daughter was in the NICU. She had ventriculitis. Her CSF report grew E.coli. But, she was injected Teicoplanin directly into her brain. The doctors made two errors here:
- Teicoplanin is for gram-positive bacteria only. It does not treat E.coli.
- Teicoplanin is not for intraventricular use. The manufacturer strongly discourage injecting Teicoplanin into the brain.
My daughter bled into the brain. She lived for another two years and ultimately died.
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You can see here that the fluid is very turbid and dirty yellow in color.
The synovial fluid was sent for a routine examination, gram stain, AFB smear, bacterial and AFB culture, and Gene Expert (PCR for Rifampicin resistance).
The prolonged history, low-grade undocumented fever, and the septic joint with turbid synovial fluid tempted me to start anti-tuberculous therapy without even waiting for the results.
She was started on:
 Injection.webp)