KROK 1 2013 – Question 46 · KROK (Medicine) · Microbiology, Virology, and Immunology

A 50-year-old patient has been administered laevomycetin for the treatment of typhoid fever, but on the next day the patient’s condition worsened, the temperature rose to 39.6°C. The deterioration of the patient’s condition can be explained by:

  1. A. Insensitivity of the pathogen to laevomycetin
  2. B. Re-infection
  3. C. Effects of endotoxins of the causative agent
  4. D. Secondary infection
  5. E. Allergic reaction
Hint

Consider what dying bacteria release into the bloodstream when an antibiotic destroys many of them within hours, and how that could drive fever.

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