MRCP2-0496
A 32-year-old woman, previously healthy, is admitted to the Emergency Department (ED) under the care of the Gynecology Team following a miscarriage. She had been experiencing heavy bleeding and cramping for the past 24 hours. She undergoes a dilation and curettage (D&C) procedure and is returned to the ward.
A week later she is found to be febrile, with a temperature of 38.5°C. She is tachycardic, with a pulse of 110 beats per minute (bpm). Her blood pressure is 110/70 mmHg. There are petechiae on her lower legs. There is no murmur on auscultation of her chest. Her chest is clear on auscultation.
A bedside urine dipstick is negative for blood, protein and leucocytes. Her serum creatinine (Cr) level is 80 µmol/l.
Blood cultures grow methicillin-resistant staphylococcus aureus.
Given the likely cause of her fever, what is the most appropriate treatment in this case?