In response to the current listserv comments on
antbiotic choices for seal finger, I want to confirm the information submitted
by Mary Cody that the infecting organism in seal finger is NOT generally
responsive to penicillin or penicillin-derivatives as suggested by Pieter Van Der Wal, and I highly recommend consultation with a physician
with expertise with this specific infection. Secondary infection with
other organisms such as Staphylococci may be responsive to penicillin
derivatives, but this treatment is not adequate for the causative agent
(mycoplasma) for seal finger. The current antibiotic of choice is
still doxycycline 100mg bid X 4 to 6 weeks or tetracycline 500mg
QID X4 to 6 weeks.
Jane Kelly, MD
Centers for Disease Control and Prevention
Atlanta GA