Well, to me this looks like a common case of MRSA with some associated cellulitis. Being that the individual is apart of a FIRE crew (regardless of CDC or other hand crew affiliation) and subjected to poor hygiene (taking a shower and putting on the same dirty/grubby clothes afterwards does not count), poor nutrition (sack nasties and failure to hit the salad bar frequently), and fatigue, these would be contributing factors in “catching” MRSA. Further, fire crews are living in close quarters with each other, where an individual may be the host carrier for the entire crew…
I have seen several cases come through the medical trailer over the past several years, but unfortunately my recommendations to the MEDL for morning briefing discussions and safety messages usually don’t get properly understood by the masses.
The other issue with MRSA is that it is frequently undiagnosed as such and the patient is treated in camp or at a small local clinic with cleaning of the affected area, bandages, and maybe an ineffective prescription of oral Keflex.What this patient needs is an admission to a medical facility with IV antibiotics, debridement and drainage.
The case I followed up on as a safety dude was an engine operator from a federal government engine crew assigned to a large complex on the Siskiyou in 2014. Classic case of MRSA and a double whammy of ring worm. Dude was in the hurt box, but in reality, it was his own fault for not keeping himself clean and changing out his clothing every shift. I believe the IV antibiotic was vancomycin (probably spelled it wrong)
My recommendation for all is to maintain proper hydration/nutrition, change out your Nomex when you can, take showers every time you come off the line and before feeding if at all possible, and change your underwear and t shirts every day.
Be safe and pace.