A 61-year-old with suspected C. difficile has watery diarrhea after 5 days of clindamycin; PCR is positive but toxin EIA is negative and patient is im...

Question

A 61-year-old with suspected C. difficile has watery diarrhea after 5 days of clindamycin; PCR is positive but toxin EIA is negative and patient is improving after stopping clindamycin. Best approach?

Accepted Answer

Begin FMT now

Answer

Treat with fidaxomicin

Answer

Treat with vancomycin

Answer

Observe without CDI therapy and reassess if symptoms worsen

Answer

Start metronidazole

us-abim MCQ (SBA): C. difficile Testing & Treatment

A 61-year-old with suspected C. difficile has watery diarrhea after 5 days of clindamycin; PCR is positive but toxin EIA is negative and patient is improving after stopping clindamycin. Best approach?