<prompt> A sewage worker presents to the Emergency depament with fever and jaundice. Laboratory findings reveal an elevated BUN and serum creatinine suggestive of renal failure. Which of the following antiboitics is recommended?CotrimaxozoleErythromycinCiprofloxacinPenicillin G  <response>: Ans. is d i.e. Penicillin G o Presence of fever, jaundice and renal failure in a sewage worker contact with rat urine suggests a diagnosis of Wen syndrome or Icterohemorrhageic fever caused by leptospirae. o Penicillin G intravenously is the recommended agent. In severe illness, I.V benzyl penicillin is the drug of choice, for milder infections a 7-10 days course of oral amoxicillin appropriate. - Green wood I 6the 355 o Patients allergic to penicillin can be treated with erythromycin. 