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Infectious — Ear, nose, and throat

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Case 1 of 2InfectiousEar, nose, and throat (e.g., pharyngitis, otitis media)

A 16-year-old student presents to a walk-in clinic with 4 days of severe sore throat of sudden onset and fever. There is no cough, rhinorrhea, or hoarseness. She had anaphylaxis (hives, wheezing, and hypotension) after taking amoxicillin at age 6 and has had no other reactions since; she takes no medications and weighs 58 kg. On examination, she has tender anterior cervical lymphadenopathy and an erythematous pharynx with white exudate on both tonsils. A rapid antigen detection test for group A Streptococcus is positive.

Heart rate98/min
Respiratory rate16/min
Temperature38.9 °C
O2 saturation99%, room air
Blood pressure112/70 mm Hg

Question 1 of 6

Which one of the following is the most appropriate antibiotic for this patient?

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