kiranmayi
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A 65-year-old African American male with a three- to four-day history of burning with urination and increased urgency presents to your clinic. His urinalysis is positive for white blood cells, leukocyte esterase, and nitrates. His CBC indicates that he is mildly anemic. The patient reports that his father and two brothers have anemia. To effectively treat his urinary tract infection while considering his family history, which of the following antibiotics would be the best choice?
A. Ciprofloxacin
B. Erythromycin
C. Nitrofurantoin
D. Penicillin
E. Trimethoprim-sulfamethoxazole
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| asmi
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I guess E........ would be safe
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| peekay
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erythro- i guess. patient might have prob with oxidizing agents and sulfa is one of those( hx of anemia) . nitrate shows it is probably g neg infxn .
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| asmi
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oops :oops: my mistake..its not E.
 .u r right peekay.
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| mjl1717
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fluoroquinolones are ok. (cipro)
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| mjl1717
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nitrate means its probably a urea splitting organism
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| dxtxpx
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a) cipro
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| asmi
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A..ciproflox
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| asmi
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good artical
http://www.aafp.org/afp/990301ap/1225.html
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| peekay
Forum Guru
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good article.cipro should be the drug of choice for this patient.
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| kiranmayi
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Yes answer is A. Ciprofloxacin
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| alias420
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Ciproflox
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