Question

A 60-year-old man presents with watery diarrhea, abdominal pain, and WBC 18,000 after 10 days of clindamycin. He is hypotensive, creatinine 2.1 mg/dL, lactate 3.8 mmol/L. Management?

Accepted Answer

Oral vancomycin plus IV metronidazole and consider early surgery consult

Answer

Outpatient oral metronidazole

Answer

Fidaxomicin alone at home

Answer

No antibiotics; stop clindamycin only

Answer

Probiotics only

Practice question

A 60-year-old man presents with watery diarrhea, abdominal pain, and WBC 18,000 after 10 days of clindamycin. He is hypotensive, creatinine 2.1 mg/dL, lactate 3.8 mmol/L. Management?