A 44-year-old with watery diarrhea and abdominal pain after clindamycin has WBC 18,000/µL and creatinine 2.1 mg/dL. Suspected severe CDI. Preferred in...

Question

A 44-year-old with watery diarrhea and abdominal pain after clindamycin has WBC 18,000/µL and creatinine 2.1 mg/dL. Suspected severe CDI. Preferred initial therapy?

Accepted Answer

Oral fidaxomicin or vancomycin; consider fidaxomicin preferred

Answer

Oral metronidazole

Answer

IV vancomycin

Answer

No antibiotics; probiotics only

Answer

Rifaximin

us-abim MCQ (SBA): Clostridioides difficile Infection (Severe)

A 44-year-old with watery diarrhea and abdominal pain after clindamycin has WBC 18,000/µL and creatinine 2.1 mg/dL. Suspected severe CDI. Preferred initial therapy?