system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 7-year-old girl is brought to the pediatrician by her parents for red papules over her left thigh and swelling in the right axilla for the past few days. Her parents say that she had a cat bite on her left thigh 2 weeks ago. Her temperature is 38.6°C (101.4°F), pulse is 90/min, and respirations are 22/min. On her physical examination, hepatosplenomegaly is present with a healing area of erythema on her left hand. Her laboratory studies show:
Hemoglobin 12.9 gm/dL
Leukocyte count 9,300/mm3
Platelet count 167,000/mm3
ESR 12 mm/hr
Which of the following is the most appropriate next step in management?
assistant
Rifampin + azithromycin