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General Medicine General c54fdd88

An endocarditis patient under a physician's care develops a urinary tract infection (UTI). A group D enterococcus (Enterococcusfaecium) is isolated but the UTI does not respond to ampicillin and gentamicin treatments. Which of the following options would be considered the most clinically appropriate action?

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

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