A 39-year-old woman at 34 weeks’ gestation comes to the obstetrician for a 1-day history of fever and left flank pain. Temperature is 103 F. Physical examination shows costovertebral angle tenderness on the left. A renal biopsy is shown.
Which of the following is the most appropriate pharmacologic therapy for this patient?
Ceftriaxone
Clindamycin
Doxycycline
Erythromycin
Gentamicin
Trimethoprim + sulfamethoxazole
Vancomycin
