An 18-year-old student is referred by his general practitioner to the Emergency Department, suffering from pharyngitis, shortness
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Question:
An 18-year-old student is referred by his general practitioner to the Emergency Department,
suffering from pharyngitis, shortness of breath with wheeze and a morbilliform skin rash.
Examination reveals generalised lymphadenopathy; wheeze in the lower zones is confirmed,
and some skeletal muscle tenderness to palpation is noted. A chest X-ray is carried out and
shows marked lower zone consolidation, which seems much worse than the findings noted on examination.
Investigations reveal a slightly elevated white blood cell count, with normal urea and
electrolytes. The presence of cold agglutinins is noted.
Given the likely diagnosis, which one would be the appropriate antibiotic choice in this case?
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