pharma 2 medicamente

are called by the nursing staff to a patient admitted 2 weeks ago. The 76 y.o. a

patient of yours was admitted previously with a worsening chronic heart failure. Other

comorbidities include DM2, hypertension and dyslipidemia with appropriate medical treatment.

After a tooth removal the dentist has treated her with clindamycin for the last 7 days. Now she

has developed watery diarrhea (3x/d), is dehydrated and presents high fever. The laboratory

examination shows an increase in CRP and Leukocytosis.

Vancomycin

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Metronidazole

A 27 y.o. a pregnant (28w) woman presents herself into the emergency department.

While preparing for a summer vacation she went to her waxing salon of trust. Her esthetician

kindly drew attention to a lesion on her genital region 3 weeks ago. She thought it might

disappear on its own since it did not bother her and was painless.

After it remained she decided to see a doctor.

After asking she tells you that she has been sexually active and has not been to her last

screening at the gynecologist.

Penicillin

A 10 y.o. the boy is admitted into the ER with fever, headache and neck stiffness. He is

oriented in terms of time, place and his person. After talking to the parents they mention that

their son had an ear infection 5 days ago, but they decided not to go to the doctor, since they

did not feel like it was serious. The boy is still complaining about mild ear pain.

Cephalosporin 3G

Vancomycin

A 60 y.o. a patient with DM was referred to your department from the ICU. After clinical

examination you notice a reddish color of the skin around her central line. After you removed

the catheter and the patient developed a slight fever you decided to start an empirical

broad-spectrum antimicrobial therapy. A day later you get back the results from the submitted

catheter tip: VRE. Also the blood cultures are + for VRE.

Daptomycin

A 56 y.o. a man returned from his camping vacation in the forest 9 days ago. Over the

last few days he started having a headache with fever, bone ache, macules and petechiae

located mostly at the ankles and wrists.

Doxycycline and Chloramphenicol

An 80 y.o. a woman from a nursing home with a 2 week hospital stay now complains

about dysuria and urinary frequency after the removal of her Foley catheter. Even though

flowers in vases are not allowed in a patient's room at your hospital, her family decided to bring

several, which have stayed in her room over the last 2 weeks. The urinary dipstick test

indicates a UTI with high leukocytes, hematuria and positive for nitrates. Urinary culture reveals

a G- oxidase and catalase positive motile rod forming a greenish culture medium that has a

linden-tree smell.

Piperacillin and Tazobactam