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 Best of Five 238

 

   

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BOF: 238

A 28-year-old male presents with abdominal pain mainly in the right hypochondrium. The pain is aggravated by movement and is referred to the right shoulder. He also has a swinging fever with chills and sweats. He gives a history of diarrhoea a few weeks prior to this presentation and has been on holiday in the Far East and admits to not been careful regarding food hygiene.

On examination he is febrile, looks unwell. The liver is enlarged and tender and there is marked intercostal tenderness. Ultrasound shows a fluid-filled cavity in the right lobe of the liver and aspiration reveals thick, chocolate brown fluid. He is started on treatment for this and two days later develops tachycardia, hypotension, and muscular weakness. Which of the following drugs is the likely cause of these latter features?

a)      Metronidazole

b)      Diloxanide furoate

c)     Dehydroemetine

d)      Chloroquine

e)      Iodoquinol

 

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