|A.||Tetracycline orally at 25 mg/kg/dose every 6 hours for 7 days|
Doxycycline IV at2 mg/kg/dose twice daily for 5 days
Azithromycin orally at 10 mg/kg single dose first day, followed by 5 mg/kg from the second to fifth day
Chloramphenicol IV at 50 mg/kg/day for 5 days
Ans. C. Azithromycin orally at 10 mg/kg single dose first day, followed by 5 mg/kg from the second to fifth day
This patient has a history of recent exposure to birds and pneumonia, which is characteristic of Chlamydia psittaci infection.
Pulse-temperature dissociation is commonly found in C. psittaci infection but also is common in Q fever and Legionnaire disease.
The first-line treatment for adults with C. psittaci is tetracyclines. For children, macrolides remain the treatment of choice.
Chest radiography frequently shows single lobar changes. However, multilobar changes can be observed.