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#idboardreview A businessman develops diarrhea while traveling to Thailand.The illness progresses to passage of grossly bloody stools. Sick x3d when returns home. +bloody stools, weak, febrile, tachycardic, stool:gull wing shaped GNR. Treatment? #medEd #idmedEd #idtwitter 
Single dose of azithromycin (1 gram). Acute febrile & dysenteric diarrhea in single adult traveling to a developing region is most likely caused by strains of Shigella, #Campylobacter or Salmonella. Campylobacter shown here Ref pic casereports.bmj.com/content/2014/b…
Treatment of choice must be guided by antibiograms of likely organisms in geographic region where pathogen was acquired. In South Asia ciprofloxacin-resistant Campylobacter is most likely cause of febrile dysentery. Tinidazole is useful for giardiasis not Campylobacter diarrhea
