A 30-year-old patient complains about having abdominal pain and diarrhea for five days; body temperature rise up to 37, 5oC along with chills. The day before a patient had been in a forest and drunk from an open water reservoir. Laboratory analyses enabled to make the following diagnosis: amebic dysentery. What is the drug of choice for its treatment?
Correct Answer: A
Rationale: The correct answer is A: Metronidazole.
Rationale:
1. Metronidazole is the drug of choice for amebic dysentery due to its effectiveness against the causative agent, Entamoeba histolytica.
2. Metronidazole has good tissue penetration and is able to reach the site of infection in the gut.
3. It is a bactericidal drug that acts by disrupting the DNA structure of the parasite.
4. Metronidazole is well-absorbed orally and has minimal side effects.
Summary of other choices:
B: Furazolidonum - Not the drug of choice for amebic dysentery. It is primarily used for treating bacterial diarrhea.
C: Levomycetin - Not effective against Entamoeba histolytica and not recommended for amebic dysentery.
D: Phthalazol - Not commonly used for amebic dysentery treatment. Metronidazole is preferred due