Episodes of paroxysmal nonproductive coughing

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Reference no: EM133793529

Question

A 28-year-old presents with episodes of paroxysmal nonproductive coughing for several weeks. The patient has been unusually tired for the past two weeks. The cough was proceeded by clear rhinitis and a low-grade fever, but the patient has continued to go to work, where others have been complaining of similar symptoms. The patient's temperature is 99.1° F (37 C), heart rate is 80, BP is 130/80 mm Hg, and respirations are 16/minute. On exam, the nasal mucosa is erythematous and boggy with clear mucus, with an erythematous pharynx without exudate. On auscultation, there is diffuse wheezing and rales throughout the lung fields. The CBC is within normal limits. Chest radiograph reveals diffuse interstitial infiltrates. Which of the following is the best course of treatment for this patient?

A. Azithromycin (Zithromax) x 5 days

B. Levofloxacin (Levaquin) 750 mg daily x 5 days

C. Amoxicillin /clavulanic acid (Augmentin) BID x 10 days

D. Hydration and dextromethorphan (Delsym)

Reference no: EM133793529

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