In particular, one patient returned quickly after being discharged at the start of the July 4th shift with what originally appeared to be a simple rash on her leg.
Doctor Langdon evaluated her in triage, prescribing her an oral antibiotic called Keflex that he believed "should clear everything up.” Still, he drew a line around the borders of the rash with a Sharpie before she left, and advised her to return if her symptoms worsened.
Whatever infection she’d acquired wasn’t responding to the original medication, meaning the doctor needed to set her up with an IV to get the antibiotics directly into her bloodstream.
“Not if we can get a handle on it,” Langdon assured her.
Langdon expressed concern that whatever Debbie had could be "worse" than MRSA, just before the credits rolled, leaving viewers on a cliffhanger until next week.
MRSA is an antibiotic resistant bacterial infection that doesn't respond well to many typical anti bacterial medications.
If a person's infection goes uncontrolled, serious, and possibly fatal, complications include sepsis—a dangerous, systemic overreaction to infection that can lead to organ failure—respiratory failure, or the need for amputation of infected limbs.
How Do You Catch MRSA?
Some individuals have MRSA on their skin or in their respiratory tracts but never get sick themselves because of the bacteria. This is referred to as colonization. But, while a person may not be able to fall ill from the strain they carry, it can still be spread to other people.
What's Worse Than MRSA?
Dr. Langdon is most likely concerned that Debbie may actually have necrotizing fasciitis, or the flesh-eating disease.
Necrotizing fasciitis can be caused by a number of differenty types of bacteria, including MRSA. The bacteria spreads through the layers of skin known as the fascia, producing toxins that prevent blood from adequately flowing to the tissue and causing the fascia to die, per the Cleveland Clinic. These toxins may eventually spread to a person's organs, too.
Nectrotizing fasciitis is unlikely to spread from person to person, but, like MRSA, can lead to sepsis, organ failure, need for amputation, and, potentially, death.
If this is the case, Debbie's treatment will likely involve IV antibiotics, IV fluids, medication to raise her blood pressure, and potentially oxygen and even surgery, before being transferred to the ICU, according to the Cleveland Clinic.
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