A 47 year old man presents with acute, profuse, watery diarrhoea some after returning from a holiday in Namibia

A 47 year old man presents with acute, profuse, watery diarrhoea some after returning from a holiday in Namibia.
Which one of the following is the most appropriate treatment?

  1. Ciprofloxacin

  2. Metronidazole

  3. Vancomycin

  4. Prednisolone

  5. Cefuroxime

View Explanation

The most likely cause of travellers diarrhoea is E. coli. Ciprofloxacin would cover for this as well as shigella, salmonella and campylobacter. However, if giardiasis was cultured in the stool then metronidazole is recommended.