Jamal, a 45-year-old auto mechanic, visits his doctor after noticing a painful, red rash in the folds of his skin. He is diagnosed with a fungal skin infection and is prescribed an antifungal cream.
After three weeks, the symptoms have improved slightly. The infection has stopped spreading but has not fully receded. Concerned that his doctor may have chosen the wrong medication, Jamal asks to try something different. His doctor considers switching him to an oral antifungal medication but explains that the medication will require bloodwork every five days to monitor for possible side effects. Jamal remembers taking an oral antibiotic a few months ago for a bacterial sinus infection, which cleared up quickly with no side effects or additional testing. He is is confused by the need for frequent blood tests and begins to worry that his infection is more serious than the doctor is letting on.
Based on what you have learned in this class, how would you explain to Jamal why his current infection is taking longer to heal? In your response, include an explanation of antibiotics, antifungals, and antimicrobial treatments, as well as the factors that influence when they are used and how effective they are.
Do you agree or disagree with the doctor’s requirement for monitoring Jamal while taking the oral antifungal medication? Explain your reasoning.