A 70-year-old male presented to the OPD with complaints of abdominal pain, nausea, headache, malaise, persistent fever for 2 weeks along with constipation. On examination a characteristic rash was observed on the trunk and chest. BP – 120/70 mm of Hg HR- 65 bpm Hepatomegaly Splenomegaly Blood culture did not show any organism, hence a bone marrow culture was taken. Gram staining was done. Biochemical reactions revealed fermentation of glucose with acid production, reduction of nitrates, don’t ferment lactose and were motile by means of flagella. What is the drug of choice if the above organism is a multi-drug resistant variety:-
A 70-year-old male presented to the OPD with complaints of abdominal pain, nausea, headache, malaise, persistent fever for 2 weeks along with constipation. On examination a characteristic rash was observed on the trunk and chest. BP – 120/70 mm of Hg HR- 65 bpm Hepatomegaly Splenomegaly Blood culture did not show any organism, hence a bone marrow culture was taken. Gram staining was done. Biochemical reactions revealed fermentation of glucose with acid production, reduction of nitrates, don’t ferment lactose and were motile by means of flagella. What is the drug of choice if the above organism is a multi-drug resistant variety:-
π‘ Explanation
**Core Concept**
Salmonella Typhi is a Gram-negative, flagellated, rod-shaped bacterium that causes typhoid fever, characterized by fever, abdominal pain, headache, malaise, and rash. The organism is typically resistant to multiple antibiotics due to its ability to develop resistance through various mechanisms.
**Why the Correct Answer is Right**
The correct answer is based on the biochemical reactions and Gram staining characteristics of Salmonella Typhi. The organism's ability to ferment glucose with acid production, reduce nitrates, and be motile by means of flagella are all consistent with this species. In the case of a multi-drug resistant variety of Salmonella Typhi, the drug of choice is typically ceftriaxone, a third-generation cephalosporin antibiotic that is effective against a wide range of Gram-negative bacteria, including resistant strains.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is incorrect because ampicillin is a first-generation cephalosporin that is less effective against resistant strains of Salmonella Typhi.
* **Option B:** This option is incorrect because ciprofloxacin is a fluoroquinolone antibiotic that is often used to treat typhoid fever, but it may not be the best choice for a multi-drug resistant variety of the organism.
* **Option C:** This option is incorrect because azithromycin is a macrolide antibiotic that is not typically used to treat typhoid fever.
**Clinical Pearl / High-Yield Fact**
In cases of typhoid fever, it's essential to consider the possibility of multi-drug resistance when selecting an antibiotic. The use of ceftriaxone or other third-generation cephalosporins may be necessary to ensure effective treatment.
**Correct Answer: C. Ceftriaxone**
β Correct Answer: C. Ceftriaxone
π€ Share this MCQ
Share Card Preview
π 1080x1080 square card β fills the full width in WhatsApp and Telegram