Penicillin G 100000U/ kg/ dose IV every 6 hours x 7days
OR
>8yrs: Doxycycline 4mg/kg/dose oral every 12 hours x 7 days
<8yrs: Ampicillin 75-100mg/kg/dose oral every 6 hours x 7days
<8yrs: Amoxicillin 50mg/kg/dose oral 6- 8 hours x 7days
Other alternatives:
Ceftriaxone, Cefotaxime
Prefer Azithromycin or Doxycycline if unable to distinguish from rickettsial infection.
Ceftriaxone, Cefotaxime
Prefer Azithromycin or Doxycycline if unable to distinguish from rickettsial infection.
Be aware of the potential for a Jarisch-Herxheimer Reaction
Leptospirosis
Normal causes of acute fever!
Typhoid fever
Malaria
Drug fever
Dengue
Murine typhus
Chikungunya