A 7-year-old child is brought to the clinic with what the parent describes as "tonsillitis." The child has a moderate fever, foul breath, and dysphagia, and occasionally spits up lumps of foul-smelling material
Which medication does the nurse prepare to instruct the parents on based on the child's symptoms?
A.
Amoxicillin (Amoxil)
B.
Clindamycin (Cleocin)
C.
Erythromycin (Erythrocin)
D.
Tetracycline (Sumycin)
ANS: B
For acute tonsillitis, penicillin, amoxicillin, or erythromycin are the most commonly prescribed antibiotics. However, with the history of this child spitting up lumps of foul-smelling material, it is more likely he or she has chronic tonsillitis, which is best treated with cephalosporin or clindamycin.
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