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    Subjects/Microbiology/ESBL and Carbapenem Resistance Mechanisms
    ESBL and Carbapenem Resistance Mechanisms
    medium
    bug Microbiology

    A 52-year-old man with diabetes mellitus presents with fever, dysuria, and flank pain. Urine culture grows an ESBL-producing Escherichia coli. The organism is susceptible to cephalosporins on disk diffusion but resistant on ESBL confirmatory testing. What is the drug of choice for this upper urinary tract infection?

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