kiranmayi
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A 68-year-old man who has gout presents to the emergency room with a high fever, a feeling of wooziness, and breathlessness. On examination, he is found to have tachycardia, tachypnea, and mitral regurgitation. The patient has blood cultures taken, gets an echocardiogram, and is started on empiric vancomycin and gentamicin while awaiting the culture results. The echocardiogram confirms the mitral regurgitation. Two days later, the blood cultures come back positive for Streptococcus bovis. At this point, what would the most appropriate intervention be?
A. Change the antibiotic because it is unlikely to cover Streptococcus bovis
B. Consult GI to initiate a GI workup
C. Consult Infectious Disease for the unusual nature of the organism
D. Consult Social Service because the patient is a likely drug abuser
E. No change is management is necessary at this time
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| asmi
Forum Hero
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B :?:
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| kiranmayi
Forum Guru
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Ans B. Consult GI to initiate a GI workup
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| drmka
Forum Junior
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it is A i think...We have to change the antibotic therapy...The patient have endocarditis....There are two major criters of Duke...
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| peekay
Forum Guru
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consult G.I because s. bovis is assocaited with cancer in a patient who present with cardiac sgns and symptoms. and most of the time these patients have G.I malignancy
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