MDcooper
Forum Guru
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A 52-year-old man with a history of emphysema spends a 2-week vacation on a cruise ship. Shortly after returning home, he develops high fevers and becomes lethargic and disoriented. His wife describes that he has been coughing and short of breath since returning home. She also describes that he has vomited several times over the past 48 hours and has had diarrhea. On physical examination, he appears lethargic but arousable. He is disoriented to the current date. He has loud, coarse, rhonchi in both lung fields. His abdominal examination reveals mild tenderness over the liver edge. There is no splenomegaly or ascites present. His neurologic examination is nonfocal. Laboratory results are notable for an aspartate aminotransferase (AST) of 112 U/L and an alanine aminotransferase (ALT) of 157 U/L. Which of the following is the most appropriate treatment for this patient?
A. IV ceftazidime
B. IV erythromycin
C. IV gentamicin
D. IV nafcillin
E. IV vancomycin
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live and let live.
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| MDcooper
Forum Guru
Topics: 211
Posts: 470
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?
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live and let live.
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| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
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Its Legionella pneumonia,so the answer is IV ERYTHROMYCIN.
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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AGREE WITH B
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The Key to Succeed is Patience.
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