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Review Question - QID 214490

Endocarditis Treatment Nonoperative QID: 214490 (M2.OMB.4879)
In scope icon M 7 A
QID 214490 (Type "214490" in App Search)
A 33-year-old man presents to the emergency department with a fever, chills, and malaise. His symptoms have been ongoing for the past week. He denies IV drug use and has a history of diabetes managed with metformin. His temperature is 102°F (38.9°C), blood pressure is 94/65 mmHg, pulse is 143/min, respirations are 18/min, and oxygen saturation is 98% on room air. Physical exam is notable for an uncomfortable young man. A normal S1 and S2 are auscultated. Physical exam reveals the finding in Figure A. An initial urine drug screen and urine dipstick are ordered as seen below.

Urine:
Barbiturates: Negative
Amphetamines: Positive
Benzodiazepines: Positive
Cocaine: Positive
Marijuana: Positive
Opiates: Positive
Methadone: Positive
Bacteria: Negative
Nitrites: Negative
Leukocytes: Negative

A chest radiograph is unremarkable, and a flu swab is negative. Blood cultures are drawn and pending. Which of the following is the most appropriate empiric antibiotic regimen for this patient?
  • A
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  • A