A 35-year-old man from South Sudan presents with recurrent episodes of high fever, headache, and myalgia every 5-7 days. During a febrile episode, thi...

Question

A 35-year-old man from South Sudan presents with recurrent episodes of high fever, headache, and myalgia every 5-7 days. During a febrile episode, thick blood film shows spirochaetes. He has body lice infestation. What is the recommended treatment for louse-borne relapsing fever?

Accepted Answer

Oral doxycycline 100 mg single dose or oral erythromycin 500 mg single dose

Answer

IV benzylpenicillin for 14 days

Answer

Oral metronidazole for 7 days

Answer

Oral chloroquine

Answer

Oral rifampicin for 6 months

uk-dtmh MCQ (SBA): LBRF Treatment

A 35-year-old man from South Sudan presents with recurrent episodes of high fever, headache, and myalgia every 5-7 days. During a febrile episode, thick blood film shows spirochaetes. He has body lice infestation. What is the recommended treatment for louse-borne relapsing fever?