A patient presents with diarrhea, dehydration, and nausea. The patient wants to stop diarrhea to travel. All labs are normal except for a total leukocyte count (TLC) of 11,000.
What is the appropriate treatment?
A) Oral ciprofloxacin + oral rehydration + IV treatment
B) Oral rehydration only
C) Oral antibiotics alone
D) IV antibiotics alone
Correct answer: A) Oral ciprofloxacin + oral rehydration + IV treatment
Note :
To prevent traveler’s diarrhea, patients should be advised to avoid raw and street vendor salads, unwashed fruit, and tap/ice water. Patients who experience mild loose stools without fever or blood can safely take loperamide. Treatment with a fluoroquinolone or azithromycin is reserved for patients with moderate to severe symptoms.