A man in his late 50s presents to your office with an acute cough. He has been f


A man in his late 50s presents to your office with an acute cough. He has been feeling sick for the past three weeks. He occasionally produces green sputum and sometimes experiences shortness of breath, for example when riding his bicycle. He is asking for an antibiotic, because his neighbor who was coughing for a few weeks turned out to have pneumonia. On examination, his body temperature is 37.6°C, his heart rate is 88 beats per minute and his respiratory rate is 22 breaths per minute. Auscultation of the lungs reveals some rhonchi in the upper airway but he is otherwise clear to auscultation. He states that he is allergic to penicillin and thinks that he had a rash when he took it, but he is not sure.
How would you treat this patient based on the information provided in the case study? Provide references that support your choice of treatment.


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