What is the best treatment for this patient ? 🤔
Hello, #IDtwitter !!! For this patient with mild tularemia, the first line of treatment is ciprofloxacin! Thank you for participating in our weekly trivia. #IDFellowship #IDboards #MedTwitter #InfectiousDiseases #Medicine #Microbiology #Pharmacy #TwitteRx #IDMedED Image

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More from @TheIDtrivia

Feb 26
🧵 1/5 Hello #IDtwitter. Here is our weekly #IDtrivia 📖 #IDboardreview #TxID #MedEd

37 y/o F PMHx of lupus nephritis complicated by ESRD s/p living-donor kidney transplant 5 months ago, who presents with 3 days Hx of dysuria, hematuria, pelvic pain and subjective fever
2/5 She denies recent lupus flares. Patient is taking tacrolimus, mycophenolate, prednisone and TMP-SMX. Vaccinated against COVID-19x3. No sexually active for the past year. PreTransplant HIV,CMV,HepBC, adenovirus, Toxo and trypanosoma serologies (-) for both patient and donor.
3/5 On presentation BP 140/90 HR 78 RR 16 T 101 O2Sat98% RA. Hydrated mucous membranes. Clear chest to auscultation, normal heart sounds. Abdominal scar healed no signs of infection. Tenderness to palpation of hypogastrium. No CVA tendernesses.
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