Internal Medicine Pharmacotherapy

A 65 year old male is being treated for an infection on his forearm that developed purulent drainage within the last few days.  He denies ...

An elderly male presents to the emergency department with complaints of nausea, vomiting, and diarrhea starting a day and a half ago.  The...

A 74 year old female patient presents to clinic describing dysuria and urinary frequency that started within the last few days.  She has ...

The pneumococcal vaccine was developed to reduce the disease burden of streptococcus pneumoniae, a gram-postive bacteria that has more tha...

Daptomycin (Cubicin) is the first antibiotic in a class known as lipopeptides and has a unique mechanism of action.  Daptomycin is a large...

Thrombocytopenia is a notable adverse effect of linezolid.  Some of the evidence behind the onset, duration, and the extent of platelet de...

A 48 year old male is admitted to the hospital after experiencing a fever and malaise for several days.  He states that he has some shortn...

(Click to enlarge) Vancomycin was the first antibiotic developed of the glycopeptide class.  It is termed "glyco-" becaus...

Linezolid (Zyvox) is one of only two antibiotics currently on the market in the oxazolidinone class (see what the other one is at the ...

A 58 year old male patient presents to the emergency room with shortness of breath for the last few days.  He also complains of chills, a ...

Let's start with a patient case.  A 71 year old patient arrives to the emergency room complaining of shortness of breath and sputum pr...

Last year, the FDA issued a drug safety communication , warning about the risk of nerve damage from fluoroquinolone antibiotics.  You can ...

Several previous discussions have dealt with the concept of the minimum inhibitory concentration (MIC) such as extended-infusion piperacil...

Since it's the time of year again when Lyme disease is a concern for patients in many parts of the United States, I thought it would b...

There has been concern in recent years regarding cardiovascular risk in patients using azithromycin which I discussed in an earlier post f...

Let's start with a patient case.  A 70 year old male patient is admitted to the hospital for a diabetic foot infection.  He has a past...

Let’s start with a patient scenario.  A patient presents to the emergency room experiencing a heart failure exacerbation.  When entering th...

Let's start with a patient case.   A patient on hemodialysis (M/W/F) is admitted to the hospital with cellulitis who also meets sepsi...

An elderly patient is admitted to the internal medicine service with a diagnosis of herpes zoster infection in the typical dermatomal dis...

Since 2012, the FDA has made two statements regarding the safety of azithromycin related to cardiovascular risk.  These warnings were large...