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Exam questionKROK 2Medicine · 2018

A 26-year-old woman has been undergoing treatment for community-acquired pneumonia for 10 days. It is known that her husband had been treated for drug addiction. Sequential intravenous administration of Amoksiklav (Amoxicillin + Clavunate) Levofloxacin combination and vancomycin in the prescribed dosage was ineffective. Within the last two days the patient’s dyspnea and intoxication acutely exacerbated, bilateral pulmonary infiltrates are observed. What is the most likely cause of the medication ineffectiveness?

Answer options

  1. Infection with polyresistant bacterial strains
  2. HIV infection and pneumocystic pneumonia
  3. Idiopathic fibrosing alveolitis
  4. Cancer metastases in the pulmonary tissues
  5. Tuberculosis mycobacterium infection with development of tuberculosis
Correct answer

HIV infection and pneumocystic pneumonia

Explanation

It is well known that combination Amoksiklav (Amoxicillin + Clavulanate) + + Levofloxacin are included respiratory fluor quinolones (as

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