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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Crystalline Penicillin Be Changed Or Anything Else Needs To Be Added?

30yr old male suferring from high grade fever chills and fatigue with h/o high coloured urine, of 5 days duration. o/e febrile, toxic, icterus +. tenderness rt. hypochondrial and epigastric regions. no other clinical findigs present. lab inv. showed raised sr. biluribun and liver enzymes. widal pos.o&h antigen i;160 , leptomat.positive for Ictero Hemorrhagica 1;160 dils. pt. treated with crystalline pencillin 20lac units6th hrly. continues to have fever and c/o extreme fatgiue. should i change the antibiotic or add anything more,
Fri, 26 Sep 2014
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General & Family Physician 's  Response
Hi,
I think the drug she is taking is not a first line drug to treat such infections. It is proper to use either quinolones or amoxicilline-clavulinic acid combinations, get a urine culture and antibiotic sensitivity test done.
Kind regards
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Should Crystalline Penicillin Be Changed Or Anything Else Needs To Be Added?

Hi, I think the drug she is taking is not a first line drug to treat such infections. It is proper to use either quinolones or amoxicilline-clavulinic acid combinations, get a urine culture and antibiotic sensitivity test done. Kind regards