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Microbiology
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?
Consider vancomycin as an alternative drug
Determine if fluorescent microscopy is available for the diagnosis of actinomycosis
Do no further clinical workup
Suggest to the laboratory that low colony counts may reflect infection
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