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General Medicine General b9bd8fcf

A patient with symptoms of a UTI has a culture taken, which grows 5x103 E. coli. The laboratory reports it as "insignificant." Which of the following is the most appropriate next step in management?

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

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