Azithromycin in Medicine / Internal Medicine — 23yo Man | Hematology | SMLE Q#17527
SMLE Question #17527
Medicine / Internal Medicine
Hematology
Objective: OBJ-101
Last updated: February 2026
A 23-year-old man has 5 days of dry cough, low-grade fever, and malaise. He is treated as an outpatient with azithromycin for suspected atypical pneumonia after a chest X-ray shows patchy interstitial infiltrates. Three days later, he develops fatigue, dark urine, scleral icterus, and crampy abdominal pain. Examination shows mild jaundice without hepatosplenomegaly. Laboratory findings suggest hemolysis, and the direct antiglobulin test is positive for complement (C3). What is the most appropriate management?
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