A 58-year-old male with alcohol use disorder and multiple dental caries develops a pulmonary abscess (chest X-ray shows cavitary lesion with air-fluid level). He is started on clindamycin. Four days later, he presents with nausea, vomiting, and voluminous, profuse, green diarrhea. Vital signs: BP 118/76, HR 102, RR 18, Temp 38.2°C. Abdominal examination reveals diffuse tenderness without rebound. Stool culture is pending. Which antibiotic is most likely responsible for these symptoms?

  1. A)Vancomycin
  2. B)Chloramphenicol
  3. C)ClindamycinGABARITO
  4. D)Metronidazole
  5. E)Gentamicin

Explicação

The correct answer is B. Source: Kaplan USMLE Step 1 QBank — Microbiology/Immunology Test 1. Ver explicação completa e trilha adaptativa →

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