The causative methogenic microorganism is archaeobacteria which is an anaerobe(needs no oxygen to live)
Treatment:metranidazole is a time tested anaerobic antibiotic over 3 decades So theoritically this may be a logical treatment option Child may require along term prophylactic therapy with this drug
Recomended drug dose:7.5 mg 8hrly/kg for 7 days-iv/oral,followed by 4mg/kgdaily once oral for 7days,then 4mg/kg twice weekly for 6 weeksto make organisms impotent.May requirerepeat prophylaxis after skin &stool culturerepeatedly.Skin culture is necessary as the mathane gas evaporation is through skin..So like staph,strepto this methogenic organism's presence in the skin has to be ruled out
Auther's ID drselvarajp@yahoo.com---phone9841354335
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