drk1980
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Your patient presents with a small erythematus macular rash on his hands, soles, and mucous membranes, generalized lymphadnopathy, and a slight fever. You also notice painless condyloma latum on the patient's scrotum. He states that he has never had an allergy to any antibiotics. You decide to give penicillin and notify the State's health board. The next day the patient calls you and reports that after taking the penicillin he develops a mild fever, chills, malaise, and headache. What should you have him do?
1. Tell him not to worry, and to keep taking his medication.
2. Tell him to stop the medication immediately, he does not need any more medication
3. Have him go to the emergency room because these are the first signs of Stephen Johnsons Syndrome
4. Have him immediately stop the medication and put him on gentamycin
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| msyamp
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1. add him on aspirin and sterios if required. it is jaurisch herxheimer
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| Doc2378
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I'll go with one too...n' hope that I don't hear from his lawyer
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| drk1980
Forum Guru
Topics: 147
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yup! and dont worry the lawyer wont call.....cuz its a simple case of J-H as mentioned, the spirochetes are dyign in large numbers from ur antibiotic and releasing powerful toxins. It is in most cases, fleeting and Mx is mentioend above.
Seen in 50% of patients with primary syphilis and about 90% of patients with secondary syphilis.
Also seen in other diseases, such as borreliosis, brucellosis, typhoid fever, and trichinellosis.
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