What crucial intervention, combining mechanical removal and wound management, was required for the fish vendor's E. tarda wound infection?
Answer
Surgical debridement and Vacuum-Assisted Closure (VAC)
In cases involving localized, complicated infections, particularly those demonstrating multidrug resistance like the wound infection observed in a fish vendor, aggressive management beyond standard antibiotics is necessary. This specific case required a tailored approach that combined effective antibiotics (ceftazidime and gentamicin) with essential source control measures. For the established soft tissue infection involving cellulitis or myonecrosis, this included physical intervention through surgical debridement to remove infected tissue, alongside advanced wound management techniques such as the application of Vacuum-Assisted Closure (VAC).

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