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MMLU / A 26-year-old woman with HIV infection comes to the office because of a 4-day…

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question

A 26-year-old woman with HIV infection comes to the office because of a 4-day history of pain and redness of her left lower leg. She says the symptoms began after she tripped over a tree branch in her yard and scraped her left leg. Current medications include antiretroviral therapy and ibuprofen as needed. Vital signs are temperature 38.3°C (100.9°F), pulse 86/min, respirations 14/min, and blood pressure 138/70 mm Hg. There is a 5×8-cm area on the anterior surface of her left lower extremity that is swollen, erythematous, and tender. She previously has developed a rash after taking erythromycin, and she has had an anaphylactic response to penicillin. Which of the following antibiotic therapies is most appropriate for this patient?

choices

  1. Amoxicillin
  2. Ciprofloxacin
  3. Clarithromycin
  4. Clindamycin

subject

professional_medicine

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