  A 50-year-old white male with dog bite to his right leg with a history of pulmonary fibrosis, status post bilateral lung transplant several years ago.  He is on multiple medications and he is on chronic Bactrim.  We are going to also add some fluoroquinolone right now to protect the skin and probably going to obtain an Infectious Disease consult.  We will see him back in the office early next week to reassess his wound.  He is to keep the wound clean with the moist dressing right now.  He may shower several times a day.