He was advised to stop penicillin and started on IV moxifloxacin 400mg od, IV hydrocortisone 200mg qid, and wet compress. Blood was sent for microfilaria (x3) which was negative.
Follow-up Photo after 5 days of IV moxifloxacin and IV hydrocortisone.
Marked improvement after 5 days of IV moxifloxacin and IV hydrocortisone. There is a 5 cm reduction in the circumference of the right call. The patient would be scheduled for a MRI lower pelvis/right thigh soon, but he has refused since he is feeling so much better.
Your thoughts will be appreciated.