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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)
  • A
    3% (1)
  • B
    6% (2)
  • C
    11% (4)
  • D
    3% (1)
  • E
    78% (28)

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