08-02-2006, 03:28 PM
A patient with diabetes mellitus type 2 presents to your clinic complaining of fever, chills, and severe pain in his scrotal region. He went to his chiropractor 2 days ago when he only had pain and swelling and the chiropractor adjusted his. . .well, we won't go there. He denies instrumentation or injury. On exam the scrotum is mildly red and very tender with mild edema. There is no evidence of trauma or eschar.You admit this patient and want to start IV antibiotics. The surgeon is called and, since this is a surgical emergency, comes in off the golf course (he had finished the front nine.)
The proper antibiotic coverage for this patient is:
A) Ceftriaxone and nafcillin.
B) Levofloxacin and gentamicin.
C) Clindamycin and ampicillin/sulbactam.
D) Gentamicin and ceftriaxone.
E) Any of the above
The proper antibiotic coverage for this patient is:
A) Ceftriaxone and nafcillin.
B) Levofloxacin and gentamicin.
C) Clindamycin and ampicillin/sulbactam.
D) Gentamicin and ceftriaxone.
E) Any of the above