USMLE · Question #529
A 3-year-old boy with chronic granulomatous disease is brought to the physician because of a 3- week history of fever and warm, red lumps under both arms. His temperature is 38°C (100.4°F). Physical…
The correct answer is E. Vancomycin. See the full explanation below for the reasoning.
Question
A 3-year-old boy with chronic granulomatous disease is brought to the physician because of a 3- week history of fever and warm, red lumps under both arms. His temperature is 38°C (100.4°F). Physical examination shows enlarged, 3-cm, erythematous axillary lymph nodes bilaterally. On palpation, the nodes are tender, fluctuant, and movable. Examination of a fine-needle aspirate from one of the nodes shows gram-positive cocci in clusters. Cultures of the aspirate grow yellow, βhemolytic colonies that are catalase and coagulase positive. A polymerase chain reaction test shows mecA-positive organisms. Which of the following is the most appropriate pharmacotherapy for this patient?
Options
- ACefazolin
- BCiprofloxacin
- CPenicillin G
- DRifampin
- EVancomycin
How the community answered
(36 responses)- A3% (1)
- B6% (2)
- C11% (4)
- D3% (1)
- E78% (28)
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