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Originally Posted by PedOncoDoc
Given the location and the PFC's symptoms and exam, I'm worried about Typhoid. I assume he received his vaccination, but his drinking the local water supply is concerning and if he drank enough he may still become sick.
I believe ciprofloxacin is still the first line therapy for this, but if he fails cipro I would consider a switch to azithromycin or ceftriaxone on the assumption he has a drug restitant bug. I would treat on presumption without confirmation of the diagnosis given my limited ability to confirm the infection and knowing the natural course of this infection without intervention.
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OK, so you've put the patient on Cipro (IV or PO?). Calling in the bird to come get him? Want to see your next two patients?
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Medicina Bona Locis Malis
Last edited by ender18d; 12-10-2013 at 10:11.
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