Question

A 39-year-old man presents with watery diarrhea and abdominal cramps. He completed a 3-day azithromycin course for sinusitis 2 weeks ago. He is afebrile, WBC 9k. C. difficile NAAT is positive and toxin EIA positive. What is best therapy?

Accepted Answer

Oral fidaxomicin 200 mg BID for 10 days

Answer

Oral vancomycin 125 mg QID for 10 days

Answer

Oral metronidazole 500 mg TID for 14 days

Answer

No treatment; colonize only

Answer

Probiotics and loperamide

Practice question

A 39-year-old man presents with watery diarrhea and abdominal cramps. He completed a 3-day azithromycin course for sinusitis 2 weeks ago. He is afebrile, WBC 9k. C. difficile NAAT is positive and toxin EIA positive. What is best therapy?