A 30-year-old m an was adm itted to the hospital w ith fever (103F, 39.4C), chills, tachycardia,..

A 30-year-old m an was adm itted to the
hospital w ith fever (103F, 39.4C), chills, tachycardia, vom iting, and m
uscle pain. He had the sam e sym ptom s 10 days earlier, just after a cam ping
trip near the United States_Mexico border. The fever rem ained high for 3
days, then cleared abruptly. A thick blood sm ear w ith Giem sa stain revealed
m any threadlike bacteria w ith large, irregular coils. Which of the follow ing
correctly pairs the m ost likely disease w ith the appropriate treatment?

A. Syphilis:
streptomycin

B.

A 30-year-old m an was adm itted to the
hospital w ith fever (103F, 39.4C), chills, tachycardia, vom iting, and m
uscle pain. He had the sam e sym ptom s 10 days earlier, just after a cam ping
trip near the United States_Mexico border. The fever rem ained high for 3
days, then cleared abruptly. A thick blood sm ear w ith Giem sa stain revealed
m any threadlike bacteria w ith large, irregular coils. Which of the follow ing
correctly pairs the m ost likely disease w ith the appropriate treatment?

A. Syphilis:
streptomycin

B. Brucellosis:
streptomycin

C. Rocky
Mountain spotted fever: doxycycline

D. Relapsing
fever: doxycycline

E. Psittacosis:
piperacillin

F. Histoplasm
osis: am picillin

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