system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 40-year-old man comes to the physician because of a 6-week history of increasing shortness of breath, fatigue, and fever. He has had a cough productive of foul-smelling sputum for 4 weeks. He was hospitalized for alcohol intoxication twice over the past 6 months. He has hypertension and depression. He has smoked one pack of cigarettes daily for 20 years and drinks 6 alcoholic beverages daily. Current medications include ramipril and fluoxetine. He appears malnourished. He is 185 cm (6 ft 1 in) tall and weighs 65.7 kg (145 lb); BMI is 19.1 kg/m2. His temperature is 38.3°C (100.9°F), pulse is 118/min, respirations are 24/min, and blood pressure is 147/96 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 94%. Examination of the chest shows dullness to percussion over the right upper lung field. An x-ray of the chest shows a lung cavity with an air-fluid level and surrounding infiltrate in the right upper lobe of the lung. Which of the following is the most appropriate next step in management?
assistant
Clindamycin therapy