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General Medicine General 7522e5c7

An enterococcus (E. faecium) was isolated from a urine specimen (100,000 cfu/mL). Treatment of the patient with ampicillin and gentamicin failed. The most clinically appropriate action is

A
Do no further clinical workup
B
Suggest to the laboratory that low colony counts may reflect infection
C
Determine if fluorescent microscopy is available for the diagnosis of actinomycosis
D
Consider vancomycin as an alternative drug

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