Image Based Question – 74936

A patient presented with fever for 8 days and difficulty in breathing for two days, on examination there is red painless rash found on the left side of the chest. Treatment will be

A. Oseltamivir

B. Streptomycin

C. Doxycycline

D. Ceftriaxone

Correct Answer » C Explanation

Ans: C. Doxycycline

(Ref: Harrison Iff ed”, pg. 1408t, I4I3)

• The presence of rash over the chest is typically an eschar, which is black necrotic, painless.
• Usually it is present in axilla, groin region.
• Rickettsial infections are caused by various bacterial species from the genera Rickettsia, Orientia, Ehrlichia, Neorickettsia, Neoehrlichia, and Anaplasma.
• The drug most commonly used is doxycycline or tetracycline, but Azithromycin or chloramphenicol is an altemative.