A 30 year old female was brought to the Gram Positive Infections

Question 27 / 34: A 30 year old female was brought to the ER due to acute onset of symmetrical weakness, starting from the upper extremities later involving the lower extremities; she remained conscious and coherent. Upon further history, the patient claimed to have eaten canned sardines which she found out to have expired. How will you manage this patient?

A Provide supportive care, give purgatives, administer trivalent botulinum antitoxin

B Provide supportive care, start metronidazole 500mg IV q6hrs x 10 days

C Provide supportive care and administer human botulinum immunoglobulin

D Provide supportive care, monitor airway, administer heptavalent botulinum antitoxin (HBAT)

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Gram Positive Infections and Clostridium

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