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QInB=55   A 6-year-old child is treated with amoxicillin for otitis media. Af...

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QInB=55

 

A 6-year-old child is treated with amoxicillin for otitis media. After 48 hours, the fever persists. Culture reveals Haemophilus influenzae resistant to ampicillin but sensitive to amoxicillin-clavulanate. What is the most likely mechanism of resistance?

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