Question 281 · LEK · Pneumonia
A previously healthy 14-year-old girl comes to the physician because of a low-grade fever and a non-productive cough lasted for 7 days. Her temperature is 37.7°C. A few scattered inspiratory crackles are audible. An x-ray of the chest shows interstitial infiltrates and enlarged hilar lymph nodes. Which of the following is the most appropriate initial pharmacotherapy?
- A. amoxicillin.
- B. metronidazole.
- C. ciprofloxacin.
- D. trimethoprim-sulfamethoxazole.
- E. clarithromycin or azithromycin.
Hint
Consider the most likely atypical pathogen in a school-age child with subacute 'walking pneumonia' and which drugs act on bacteria without a cell wall.
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