Case Report
Copyright ©The Author(s) 2024.
World J Clin Cases. Dec 26, 2024; 12(36): 6926-6934
Published online Dec 26, 2024. doi: 10.12998/wjcc.v12.i36.6926
Table 1 Antimycobacterial medications, dressings, and C-reactive protein level monitoring during treatment since the patient's referral to our department
Month
Antimycobacterial medication
Dressing material
CRP monitoring (normal range 01–0.5 mg/dL)
0–1PO azithromycin 500 mg (once a day) + PO doxycycline 100 mg (twice a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith and Nephew) once a week2.6
1–2IV amikacin 500 mg (3 times a week) + PO clofazimine 100 mg (once a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith & Nephew) once a week2.4
2–3IV amikacin 500 mg (3 times a week) + PO clofazimine 100 mg (once a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith & Nephew) once a week3.0
3–4IV amikacin 500 mg (once a week) + PO clofazimine 100 mg (once a day)Injectable paste-type acellular dermal matrix (CG Paste, CG Bio, Seongnam, Korea) + DACC ribbon (Sorbact ribbon) + NPWT (PICO, Smith and Nephew) once a week3.8
4–5IV amikacin 500 mg (once a week) + PO clofazimine 100 mg (once a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith and Nephew) once a week2.8
5–6IV amikacin 500 mg (once a week) + PO clofazimine 100 mg (once a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith and Nephew) once a week6.1
6–7IV amikacin 500 mg (once a week) + PO clofazimine 100 mg (once a day) + PO clarithromycin 500 mg (twice a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith and Nephew) once a week4.5
7–8PO clofazimine 100 mg (once a day) + PO clarithromycin 500 mg (twice a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith and Nephew) once a week2.0
8–9PO clofazimine 100 mg (once a day) + PO clarithromycin 500 mg (twice a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith and Nephew) once a week1.1
9–10PO clofazimine 100 mg (once a day) + PO clarithromycin 500 mg (twice a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith and Nephew) once a week0.6
10–11PO clofazimine 100 mg (once a day) + PO clarithromycin 500 mg (twice a day)Hydrogel with povidone iodine (Repigel) + DACC ribbon (Sorbact ribbon) + povidone iodine-soaked gauze + NPWT (PICO, Smith and Nephew) once a week0.3
11–12PO clofazimine 100 mg (once a day) + PO clarithromycin 500 mg (twice a day)Hydrogel with povidone iodine (Repigel) + DACC film (Sorbact surgical dressing)0.3