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A LJ6-year-old man with a h istory of non-Hodgkin lymphoma presents with myalgias. fever. and headache. Cen tral nervous symptoms worsened, and he became seriously ill and was admitted to the in tensive care unit for eval uation and treatment. Of note. the patien t stated he had been working in the woods and though t he may have had a tick bite. He last received treatment for lymphoma 2 years previously. Laboratory shows a leukocyte count of 3 ,200/pl, hemoglobi n 1 2 .3 g/dl, and platelet count LJ 7, 000/pl. An image from the peri pheral blood smear is shown below.
What is the appropriate treatment for HME/HGA infection?
- Ciprofloxacin, 500 mg BID, for 10 days
- Erythromycin, 500 mg BID, for 21 days
- Doxycycline, 100 mg BID, for 10 days
- Hydroxychloroquine, 400 mg BID, for 21 days
Medicine
C. Doxycycline is the recommended treatment and is usually continued for 7 to 10 days.
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