A 63-year-old alcoholic m an presented to the em ergency departm ent w ith fever (102.2F, 39C), chest pain, and a cough producing m ucoid sputum . Physical exam ination revealed a m an in obvious distress w ith the follow ing vital signs: blood pressure 140/85 m m Hg, pulse 55 bpm , respirations 22/m in. Sputum culture showed gram -negative rods able to grow only on charcoal yeast extract agar. Which of the follow ing antibiotics would be m ost appropriate for this patient? A. Streptomycin B. Penicillin G C. Azithromycin D. Vancomycin E. Gentam icin F. Metronidazole
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