A sewage worker with fever and jaundice presented to the emergency department. Lab investigations revealed increased blood urea nitrogen and serum creatinine – indicative of renal failure. Which of the following antibiotics is preferred in this patient?
C. Penicillin G
Correct answer : C. Penicillin G
- The history of fever and jaundice in a sewage worker with features of renal failure is suggestive of Weil’s disease
- Intravenous penicillin G is the preferred antibiotic for treatment of Weil’s disease
- Erythromycin can be used as an alternative
- In mild cases of leptospirosis, oral therapy with ampicillin / tetracycline is given
- Doxycycline is used for prophylaxis against leptospirosis