A 60-year-old man on ICU has severe community-acquired pneumonia requiring intubation. His urinary Legionella antigen is positive. He has a penicillin...

Question

A 60-year-old man on ICU has severe community-acquired pneumonia requiring intubation. His urinary Legionella antigen is positive. He has a penicillin allergy (rash only, not anaphylaxis). What is the most appropriate antibiotic regimen?

Accepted Answer

IV ceftriaxone and IV clarithromycin (or azithromycin)

Answer

IV co-amoxiclav and clarithromycin

Answer

IV levofloxacin monotherapy

Answer

IV meropenem monotherapy

Answer

IV vancomycin and metronidazole

uk-fficm MCQ (SBA): Legionella Pneumonia

A 60-year-old man on ICU has severe community-acquired pneumonia requiring intubation. His urinary Legionella antigen is positive. He has a penicillin allergy (rash only, not anaphylaxis). What is the most appropriate antibiotic regimen?