{
  "archive_id": "topical-mupirocin-prebleed-2025-08",
  "archive_type": "private medication/product exposure image",
  "created_utc": "2026-05-07T07:49:53.853204+00:00",
  "user_context": {
    "reported_timing": "period before the August 2025 visible stool bleeding incident; exact dates/dose/frequency unknown",
    "reported_use": "over-the-counter purchase without doctor visit; applied to penis/genital skin",
    "suspected_relevance": "user suspects possible contribution to or confounding of the bleeding incident; evidence not yet assessed"
  },
  "product_identification": {
    "visible_brand_cn": "康立邦",
    "visible_product_cn": "莫匹罗星软膏",
    "english_name": "Mupirocin ointment",
    "visible_markers": [
      "OTC",
      "外 (external use)"
    ],
    "visible_manufacturer_cn": "广东恒健制药有限公司",
    "visible_package_size": "5克 (5 g)",
    "visible_strength_on_front_panel": "not visible",
    "strength_cross_checked": "2% × 5 g; 20 mg/g mupirocin (manufacturer catalogue and pharmacy listing for matching Kanglibang/Guangdong Hengjian product)",
    "approval_number_cross_checked": "国药准字H20183294 (pharmacy listing; not visible in photo)"
  },
  "image_files": [
    {
      "private_filename": "product-front.jpg",
      "source_cache_file": "/root/.hermes/image_cache/img_ff3457acfb09.jpg",
      "size_bytes": 97305,
      "sha256": "e130533a9919436e6c1ed9a03050effdb5c3cf761d409d7e0146d45c8366b02f",
      "file_command": "/root/health/private/topical-mupirocin-prebleed-2025-08/product-front.jpg: JPEG image data, JFIF standard 1.01, resolution (DPI), density 72x72, segment length 16, progressive, precision 8, 1280x420, components 3",
      "format": "JPEG",
      "width": 1280,
      "height": 420
    }
  ],
  "non_diagnostic_visual_abstraction": "Front panel of Chinese OTC external-use Kanglibang mupirocin ointment box; white carton with blue/red graphic; product text and 5 g package size visible; no strength visible on the photographed panel.",
  "privacy_rule": "Do not publish this image, raw filename, cache path, or private archive path in generated/public KB output. Public/report-facing KB may mention only archive_id and non-image product/exposure abstraction.",
  "interpretation_limits": "Image confirms product front-panel identity only. It does not prove dose/frequency, mucosal exposure amount, contamination, systemic absorption, or causal relationship to GI bleeding.",
  "cross_check_sources": [
    {
      "source_type": "manufacturer catalogue",
      "url": "http://www.hengjian.cn/cover-3.html",
      "retrieved": "2026-05-07",
      "finding": "广东恒健制药有限公司 product catalogue lists 莫匹罗星软膏 under ointments as 2%×5g, OTC/国基/医保, 200支, 24个月."
    },
    {
      "source_type": "pharmacy listing",
      "url": "https://m.111.com.cn/item/51938619.html",
      "retrieved": "2026-05-07",
      "finding": "康立邦 莫匹罗星软膏 listed as 2%*5g/支 with approval number 国药准字H20183294."
    },
    {
      "source_type": "reference label for mupirocin ointment formulation/warnings",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d8766748-6b53-4673-a3ee-5cd8a4301647&audience=consumer",
      "retrieved": "2026-05-07",
      "finding": "Mupirocin ointment USP 2% contains 20 mg/g in polyethylene-glycol ointment base; label warns not formulated for mucosal surfaces and notes antibacterial-product warnings including CDAD/overgrowth."
    },
    {
      "source_type": "Chinese drug-information page",
      "url": "https://dxy.com/drug/10023/detail",
      "retrieved": "2026-05-07",
      "finding": "莫匹罗星软膏 described as OTC external topical antibiotic for skin infections; use on eye/nose/mouth mucosa is discouraged; local irritation/allergy and PEG/renal cautions noted."
    }
  ]
}