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Endocrine Case Report: Elbow Infection

The latest endocrine case report features a patient in their mid-40’s with a history of diabetes and recent elbow I&D for an abscess is called back to the ER for wound culture. Can you determine the best treatment strategy?

History of Present Illness:

A patient in their mid 40’s with a history of diabetes and recent elbow I&D for an abscess is called back to the ER for wound culture growing a rapid-growing species of mycobacteria. The I&D was nine days ago after ~2 weeks of gradually increasing redness and swelling to the skin near the left elbow. There was cosmetic surgery in the same limb about 2 months ago performed in Mexico. The patient denies any fever or other complaints.

Vital Signs & Physical Exam:

Vital signs are normal. Images below are from day of I & D and day of call back.

What is the best initial treatment strategy?