Author: Schmalzle, Sarah A; Tabatabai, Ali; Mazzeffi, Michael; Matta, Ann; Hollis, Allison; Zubrow, Marc; Rajagopal, Keshava; Thom, Kerri; Scalea, Thomas
Title: Recreational ‘mud fever’: Leptospira interrogans induced diffuse alveolar hemorrhage and severe acute respiratory distress syndrome in a U.S. Navy seaman following ‘mud-run’ in Hawaii Document date: 2019_3_23
ID: 6gm763j5_8
Snippet: Based on epidemiologic risk factors, clinical presentation, and severity of illness, empiric antibiotic therapy with vancomycin, ceftriaxone, azithromycin, doxycycline, and oseltamivir was chosen to cover for community acquired pneumonia (including typical and atypical pathogens and MRSA), leptospirosis, tickborne infections, and influenza. Prior to confirmation of full recent travel history, contact, droplet, and airborne isolation was institute.....
Document: Based on epidemiologic risk factors, clinical presentation, and severity of illness, empiric antibiotic therapy with vancomycin, ceftriaxone, azithromycin, doxycycline, and oseltamivir was chosen to cover for community acquired pneumonia (including typical and atypical pathogens and MRSA), leptospirosis, tickborne infections, and influenza. Prior to confirmation of full recent travel history, contact, droplet, and airborne isolation was instituted due to concern for MERS-CoV (Middle East respiratory syndrome coronavirus).
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