A 41-year-old with suspected C. difficile fulminant infection (WBC 18,000/µL, creatinine 1.6 mg/dL, hypotension) asks about therapy. What is correct i...

Question

A 41-year-old with suspected C. difficile fulminant infection (WBC 18,000/µL, creatinine 1.6 mg/dL, hypotension) asks about therapy. What is correct initial approach?

Accepted Answer

Oral vancomycin plus IV metronidazole; consider rectal vancomycin if ileus

Answer

Metronidazole monotherapy

Answer

Fidaxomicin only

Answer

Stop antibiotics and hydrate only

Answer

Oral vancomycin taper from day 1

us-abem MCQ (SBA): Fulminant C. difficile

A 41-year-old with suspected C. difficile fulminant infection (WBC 18,000/µL, creatinine 1.6 mg/dL, hypotension) asks about therapy. What is correct initial approach?