A 62-year-old man on ICU has community-acquired pneumonia. Urine pneumococcal antigen is positive. He is allergic to penicillin (anaphylaxis). The mic...

Question

A 62-year-old man on ICU has community-acquired pneumonia. Urine pneumococcal antigen is positive. He is allergic to penicillin (anaphylaxis). The microbiologist recommends vancomycin for CNS penetration in case of meningitis. However, the patient develops 'red man syndrome' during vancomycin infusion. After managing the reaction, what is the best alternative antibiotic with good pneumococcal and CSF activity?

Accepted Answer

IV chloramphenicol

Answer

IV linezolid

Answer

IV teicoplanin

Answer

IV meropenem

Answer

IV clindamycin

uk-fficm MCQ (SBA): Pneumococcal Infection - Multi-Allergy