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Comprehensive Reference, Review, and Assessment for Practicing Emergency Physicians
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Issue: December 15, 2007
Case: Trauma
Taken from
Challenger/Rosen's Career
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Question:
A young girl presents with new onset of a persistent high fever and one or two tender, inflamed nodes in the left neck or axilla. A few weeks earlier, a 0.5 cm crusted red papule had appeared on her left forearm at the site of a cat scratch 3-10 days earlier. The most likely treatment is _____.
- CBC, excision, Warthin-Starry stain, AFB stain, and possible referral to oncology
- Bartonella serology, needle aspiration, and azithromycin
- excision, AFB culture, clarithromycin plus clofazimine, and possibly ethambutol
- incision and drainage, aerobic and anaerobic cultures, and cephalexin
- PPD placement, chest radiograph, and empiric treatment with isoniazid, rifampin, and pyrazinamide
Answer:
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