Question

A 58-year-old man with long-standing diabetes presents with a warm, erythematous foot ulcer probing to bone; ESR is elevated. Best initial antibiotic strategy?

Accepted Answer

Empiric broad-spectrum coverage including aerobic gram-negatives and anaerobes

Answer

Empiric narrow-spectrum gram-positive coverage only

Answer

No antibiotics until culture of bone is obtained

Answer

Topical antibiotics alone

Answer

Immediate antifungal therapy

Practice question

A 58-year-old man with long-standing diabetes presents with a warm, erythematous foot ulcer probing to bone; ESR is elevated. Best initial antibiotic strategy?