GIM Question 39

A patient on your ward is being treated with ceftriaxone for pneumonia. Two days after antibiotic administration, she begins to experience watery diarrhea, but no fever.Clostridium difficile PCR testing on a stool sample comes back positive. The patient’s CBC, lytes and creatinine are within normal limits.

  1. What is your initial treatment for this patient?
  2. How would your management change if the patient developed a fever, an elevated WBC count, and hypotension?

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