Indiana University Infectious Diseases Fellowship
11 Jul,
8 tweets, 4 min read
#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
A single dose of azithromycin is effective in treating the major causes of febrile dysentery of travelers. Rifaximin not effective for mucosally invasive bacterial infections. Illness significantly shortened by azithromycin
ncbi.nlm.nih.gov/pmc/articles/P… #campylobacter resistance in Thailand
#travelersdiarrhea Plesiomonas, Vibrio, and norovirus are underappreciated diarrhea pathogens in Thailand per this study tdtmvjournal.biomedcentral.com/articles/10.11…
• • •
Missing some Tweet in this thread? You can try to
force a refresh
