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a.lee

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  • Group B Strep Vaginal Infection-- My DO gave me an antifungal Terconazole?

    I can't belive that I'm having to ask this here but my doctor doesn't care that she made a medical mistake and I'm not willing to delay treatment for 48 hours. I can get oral antibiotics without a problem, I just need to know which ones. I can't believe this women doesn't even care about this from the malpractice aspect even if she doesn't care about doing a good job or helping aleviate suffering.

    I went to see Dr. B on Wednesday. I was placed on fluconazole while I awaited my medical results. On Friday I got a call from someone anonymous within the doctor’s group. I was told I needed to pick up a new medication. I asked what the active ingredient in that medication was. There was a long silence as the girl, presumably, tried to figure that out. I said, “OK, then why don’t you just tell me what we are treating?” She said “You have normal growth of vaginal bacteria and a heavy growth of Group B strep. “ I said, “Any yeast?" She said, "No." I asked, "OK, then should I stop taking the fluconazole?” She said “I would take one more dose since you have a history of yeast.”

    Flash forward to Friday evening when I get home and go to the Pharmacy to pick up my medication. The drug that I have received with a different doctor's name from the practice on it is Terconazole, an AntiFUNGAL. This drug has no activity against Group B strep. It also has significant overlap with the drug Fluconazole I was just instructed to stop taking.

    I rechecked my pharmacology to see that yes, indeed, Terconazole is an Azole and hence has no activity against Group B strep, what I was told earlier that day I had a heavy growth of on culture. I then called the medical line and left a message for Dr. B. She did not return my call. I decided at that point I would give her another chance to fix this medical mistake in a responsible manner by calling her answering service one more time and reminding her that my pharmacy closed at 9:30.

    Dr. B’s attitude, when she did manage to call me back was one of indifference and lack of concern. She told me I would just have to wait until Monday to get any kind of treatment. She would look things over when she got to the office later.

    I have already have a ruptured cordae tendonae. Should we really wait the 48 hours and risk hematogenous spread? Anyway, why should I be the one to suffer for her screw up, especially since she doesn't seem to care about me or her liability here at all.

    If you know an appropriate drug or if my pharmacology of terconazole is wrong, please let me know. Even if I go to the ER tonight for this problem I won't have a culture result back for 48 hours anyway!

    6 AnswersWomen's Health1 decade ago