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On a hot summer day, a 28-year-old man was taken to the emergency room in Taos, New Mexico with a 2-day history of fever, weakness, pain in his left groin, and diarrhea. Before he became ill, he had taken his kids camping in an arroyo near his home. The groin pain is so severe that he walks with a limp with his left leg held out at an angle. He also has small rashes on his lower leg. On physical exam, the patient is alert but restless and in a moderate amount of pain. A mass was found in his left groin. The mass, about 6 cm in diameter, was red, firm to the touch, and extremely painful. He also had small hemorrhages on the skin of his right leg. The patient was admitted to the hospital, and samples were taken of his blood and a needle aspirate of his inguinal (groin) lymph node. He was started on multiple antibiotics because of his serious condition. The next day, cultures of his blood showed an abundance of Gram-negative bacteria. How should his illness be treated? a. Tetracycline or doxycycline b. Vancimycin c. Isoniazid d. Rimfamin
SCIENCE
HEALTH SCIENCE
NURSING

 
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