Because use of azithromycin for patients infected with macrolide-resistant strains is likely to result in organism persistence and subsequent risk for development of rheumatic fever, treatment with azithromycin should be limited to patients with a documented history of anaphylactic reactions to penicillin. 1  References.
My Gooey Butter Cake. One of the most popular Cake Mix Doctor recipes, Gooey Butter Cake is the signature cake of St. Louis where it was invented in the 1930s. Many variations of this cake exist, both from-scratch and using a cake mix. What makes my version appealing is that it is faster to prepare using a mix.
The two that I've come across are 1) the baker's variety in which the cake is one contiguous loaf with no discernable layers. It's actually a more traditional cake form. It's sometimes called a Deep Butter cake, but not always and is considered to be a Gooey Butter. 2) the more traditional (in my eyes at least) Gooey Butter with a cakey crust, and a creamy custard-like filling.