Drugs

How is Whipples disease treated

How is Whipples disease treated Before the use of antibiotics, Whipple’s disease was uniformly fatal. Though antibiotic treatment of T. whipplei often leads to a rapid improvement of symptoms (typically within 1–2 weeks), prolonged treatment is required to ensure eradication of the bacterium. Additionally, there is no widely accepted method of noninvasive monitoring. Although there is no …

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Conventional treatment for arthritis and autoimmune disease in HIV infected

What is conventional treatment for arthritis and autoimmune disease in HIV infected patients? Can treatment with anti-tumor necrosis factor (TNF) α therapy be considered? NSAIDs are generally effective along with physical therapy modalities for mild arthritis. Indomethacin has even been shown to inhibit HIV replication in vitro . Intraarticular and soft tissue corticosteroid injections are especially therapeutic for …

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How are second and late stages of Lyme disease treated

How are second and late stages of Lyme disease treated How should the second (disseminated disease) and third (late disease) stages of Lyme disease be treated? Disease Manifestation Antibiotic Treatment Duration in Days (range) Second Stage (Disseminated Disease) Meningitis or radiculopathy Ceftriaxone 2 g intravenous (IV) daily (pediatric dosage 50–75 mg/kg IV daily) a , b 14 (10–28) …

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How is disseminated gonococcal infection treated

How is disseminated gonococcal infection treated? Local (cervicitis) Ceftriaxone, 250 mg intramuscularly × 1 dose plus azithromycin 1 g orally × 1 dose-use combination even if Chlamydia testing is negative DGI Ceftriaxone 1g IV every 24 hours plus azithromycin 1 g orally× 1 dose-continue centriaxone IV for 7 days; can switch to oral cephalosporin only if in vitro susceptibilities are known If …

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Antibiotics to treat nongonococcal septic arthritis

Antibiotics to treat nongonococcal septic arthritis How long is nongonococcal septic arthritis treated? Antibiotics should be started after cultures are obtained, with the choice of antibiotics determined by the suspected organism based on initial Gram stain and clinical situation. Normal renal function is assumed for all of the following doses. • Gram-positive cocci on Gram stain: vancomycin, …

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How is nongonococcal septic arthritis treated

How is nongonococcal septic arthritis treated? • Choose effective antibiotic based on patient age, clinical situation, Gram stain, and culture results. • Prompt and adequate drainage of the joint on a frequent basis (sometimes several times a day if using needle drainage) is essential. Always send synovial fluid for cell count, Gram stain, and culture to ensure …

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Role of prophylactic antibiotics in Reactive Arthritis

Role of prophylactic antibiotics in Reactive Arthritis Should you use prophylactic antibiotics in Reactive Arthritis patients? Prophylactic antibiotics should be considered in patients with a previous episode of ReA who later develop urethritis after unprotected sex or traveler’s diarrhea. Azithromycin (1 g) as a single dose for urethritis, or azithromycin (1 g) as a single …

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