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A 62-Year-Old Man Who Underwent Mitral Valve Replacement 1 Month

Question 49

Multiple Choice

A 62-year-old man who underwent mitral valve replacement 1 month ago is being evaluated in the emergency department for low-grade fevers.  He has some malaise and dyspnea.  Multiple sets of blood cultures are drawn and, within hours, all bottles grow gram-positive cocci in clusters that are catalase-positive and coagulase-negative.  The decision is made to begin empiric antibiotic therapy.  Initial empiric treatment should include which of the following antibiotics?


A) Ceftriaxone
B) Ciprofloxacin
C) Clindamycin
D) Nafcillin
E) Penicillin G
F) Vancomycin

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