[med]medioidosis & leptospirosis
Culture : B.pseudomalleii
Medioid titer >1:160 (corerate with clinical)
Rx: ceftazidine(fortum) 2gm iv q 8hr duration 10-14day
Then bactrim(TMP-SMX) 3-6 month
Bw >60 : bactrim(160) 2tab po BID pc
Bw40-60 : bactrim(80) 3tab po BID pc
Bw <40 : bactrim(160) 1tab po BID pc
If allergy for bactrim
: augmentin(1gm) 1tab po BID pc
Mild leptospinosis
: doxycycline (100) 1 * 2 po pc
: amoxycillin (500) 2 * 2 po pc
Moderate leptospirosis
: PGS 15 mU iv q 6 hr
or 1 mU iv q 4 hr
: ampi / amoxy
1 gm iv q 6 hr
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