Question
A 3-year-old female is brought in by her parents for 4 days of incessant dry cough. The vital signs are temperature 102.5F, pulse 82 beats/min, respirations 12/min, and blood pressure 124/86 mmHg. The relevant history includes parents who both smoke cigarettes, no sick contacts, and recent travel to the zoo where they spent a considerable amount of time in the aviary exhibition. A chest x-ray shows single lobar changes and likely pneumonia. What is the best treatment?
| A. | Tetracycline orally at 25 mg/kg/dose every 6 hours for 7 days |
| B. |
Doxycycline IV at2 mg/kg/dose twice daily for 5 days |
| C. |
Azithromycin orally at 10 mg/kg single dose first day, followed by 5 mg/kg from the second to fifth day |
| D. |
Chloramphenicol IV at 50 mg/kg/day for 5 days |
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