Question

A 4-year-old Inuit boy from a remote community presents with fever, tachypnoea, and hypoxia. Chest X-ray suggests lobar pneumonia. He is underimmunised and the community has high rates of invasive pneumococcal disease. Which antibiotic regimen is most appropriate empiric therapy?

Accepted Answer

High-dose IV penicillin or ceftriaxone

Answer

Oral amoxicillin alone at low dose

Answer

Oral azithromycin alone

Answer

No antibiotics; observe only

Answer

Topical antibiotics

Practice question

A 4-year-old Inuit boy from a remote community presents with fever, tachypnoea, and hypoxia. Chest X-ray suggests lobar pneumonia. He is underimmunised and the community has high rates of invasive pneumococcal disease. Which antibiotic regimen is most appropriate empiric therapy?