08-24-2014, 05:15 PM
A 23-year-old previously healthy college student presents to the emergency room with severe abdominal pain, vomiting, and bloody diarrhea that has lasted for 4 days. He recalls eating some leftover pasta several nights ago. Since then, he has had nausea, vomiting, and bloody diarrhea. His vital signs are temperature 36.9°C (98.5°F), heart rate 100/min, blood pressure 113/67 mm Hg, respiratory rate 14/min, and oxygen saturation 99% on room air. On examination, his mouth reveals dry mucosa. He has diffuse generalized abdominal pain. Stool cultures are obtained, and Salmonella enteritidis is isolated.
What is the correct treatment for this patient?
A.Amoxicillin
B.Fluconazole
C.Intravenous immunoglobulin
D.No antimicrobial treatment is needed
E.Vancomycin