A 57-year-old man presents with fever, chills, and new lumbar back pain 2 weeks after undergoing a prostate biopsy because of an increased prostate-specific antigen level. His temperature is 39.7 degrees C; he has an enlarged, tender prostate and lumbar spine tenderness. His white-cell count is 9100 per cubic millimeter, and the C-reactive protein level is 343 mg per liter. Urine and blood cultures reveal multidrug-resistant, extended-spectrum beta-lactamase-producing Escherichia coli susceptible to imipenem. How should he be evaluated and treated?
机构:
Rush Univ, Med Ctr, Dept Orthopaed Surg, Div Spine Surg & Spine Fellowship, Chicago, IL 60612 USARush Univ, Med Ctr, Dept Orthopaed Surg, Div Spine Surg & Spine Fellowship, Chicago, IL 60612 USA
An, Howard S.
Seldomridge, J. Alex
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机构:
Rush Univ, Med Ctr, Dept Orthopaed Surg, Div Spine Surg & Spine Fellowship, Chicago, IL 60612 USARush Univ, Med Ctr, Dept Orthopaed Surg, Div Spine Surg & Spine Fellowship, Chicago, IL 60612 USA
机构:
Rush Univ, Med Ctr, Dept Orthopaed Surg, Div Spine Surg & Spine Fellowship, Chicago, IL 60612 USARush Univ, Med Ctr, Dept Orthopaed Surg, Div Spine Surg & Spine Fellowship, Chicago, IL 60612 USA
An, Howard S.
Seldomridge, J. Alex
论文数: 0引用数: 0
h-index: 0
机构:
Rush Univ, Med Ctr, Dept Orthopaed Surg, Div Spine Surg & Spine Fellowship, Chicago, IL 60612 USARush Univ, Med Ctr, Dept Orthopaed Surg, Div Spine Surg & Spine Fellowship, Chicago, IL 60612 USA