12-22-2008, 03:24 PM
20 An 18-year-old black male, who is an IV drug abuser, presents with high-grade fever with rigors and chills for the last 2 days. He has no history of pre-existing heart disease. There are painful erythematous nodules present on the pulp of his fingers. Chest examination reveals a loud pansystolic murmur in the tricuspid area. His blood is drawn and sent for cultures. What is the most appropriate empiric antibiotic therapy in this patient?
A. IV Vancomycin and gentamycin
B. IV Nafcillin and gentamycin
C. IV Vancomycin alone
D. IV Nafcillin alone
E. IV Penicillin and clindamycin
A. IV Vancomycin and gentamycin
B. IV Nafcillin and gentamycin
C. IV Vancomycin alone
D. IV Nafcillin alone
E. IV Penicillin and clindamycin