aaroho
Forum Junior
Topics: 8
Posts: 75
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A 27-year-old homosexual man presents to the emergency department complaining of worsening anal and rectal pain over the past two weeks. There is an occasional rectal discharge containing mucus and blood. He reports feeling the urge to defecate multiple times during the day, but often he is unable to have a bowel movement. For the past three days, he has had high fevers associated with shaking chills, night sweats, arthralgias, and myalgias, all of which started two days ago. He has a temperature of 103.2 F and a heart rate of 115/min. There is marked bilateral inguinal and femoral lymphadenopathy. Digital rectal examination shows marked tenderness and a scant, purulent, blood-tinged discharge. No masses are palpated. The genital examination is within normal limits. His white cell count is 17,500/mm3.. The complement fixation test is strongly positive. Flexible sigmoidoscopy shows ulcerative proctitis with areas of mucosal bleeding and purulent exudates. The rectal biopsy shows crypt abscesses with marked inflammatory cell invasion and granulomas with giant cells within the mucosa. Which of the following is the best treatment for this patient?
(A) Sulfasalazine
(B) Metronidazole
(C) Corticosteroids
(D) Doxycycline
(E) Chemotherapy and/or radiotherapy
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| ing
Forum Guru
Topics: 45
Posts: 435
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(A) Sulfasalazine
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| titly
Forum Elite
Topics: 17
Posts: 290
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we spend our days waiting for the ideal path to appear in front of us, but, what we forget is paths are made by walking, not by waiting. keep walking................................
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| drdg
Forum Senior
Topics: 31
Posts: 176
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(D) Doxycycline
Not IBD, it is STD.
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| darkhorse
Forum Elite
Topics: 56
Posts: 275
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LGV......doxycycline
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| neuroblastoma
Forum Guru
Topics: 99
Posts: 1,011
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:nod DDDOXYCYLINE
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