AAAAA
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A 72-year-old woman with a history of bronchiectasis is evaluated because of worsening cough, purulent sputum production, and occasional scant hemoptysis. She reports no fever, but says that she has difficulty gaining weight. She has never smoked cigarettes.
She is hospitalized because of tachypnea and hypoxia. Spirometry shows moderately severe obstructive impairment. Chest radiograph shows tramlines without infiltrate. Gram stain of the sputum shows numerous leukocytes, but no bacteria; culture results are pending. Previous IgE levels were normal. There is no eosinophilia. An immediate skin test for Aspergillus is negative. A tuberculin skin test performed last month was nonreactive.
Which of the following is appropriate therapy for this patient?
( A ) A β-lactam/β-lactamase combination
( B ) A macrolide
( C ) A fluoroquinolone and an aminoglycoside
( D ) Itraconazole
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| bo
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C to cover pseudomonas.
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| Dr.D
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C
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| AAAAA
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C
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| mdwannabe
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I'd go with macrolide...no evidence of infiltrate...to cove for atypicals.
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| egomez2001
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b
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