NE
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A 59-year-old diabetic woman has a temporary indwelling catheter placed to receive dialysis. Five days after the placement of her catheter she develops a fever. Examination at this time reveals erythema and tenderness at the access site but is otherwise normal. The line is removed and blood cultures are drawn. An initial Gram stain reveals Gram-positive cocci in clusters, which are later confirmed to be methicillin-sensitive Staphylococcus aureus colonies. Twenty-four hours after line removal and initiation of intravenous nafcillin, the patient becomes afebrile. Which of the following is the most appropriate next step in management?
A. Intravenous nafcillin for 1 week of treatment
B. Intravenous nafcillin for 2 weeks of treatment
C. Oral dicloxacillin for 2 weeks of treatment
D. Transesophageal echocardiogram (TEE)
E. Transthoracic echocardiogram (TTE)
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| doyoudig
Forum Guru
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Posts: 613
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D. Transesophageal echocardiogram (TEE) - Bette than TTE - Look for Lesion
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