Review Question - QID 213702

A 52-year-old man presents to urgent care with a 4 day history of fever and headache. He says that the symptoms started after he went hiking and drank some homemade moonshine while he was visiting family in Kentucky. He has also noticed a rash that started on his wrists and has spread all over his body. Physical exam reveals small erythematous macules on his chest and petechiae on the extremities. He is currently on lisinopril for hypertension and metformin for diabetes. His allergies include penicillin and doxycycline so he is placed on a medication that reversibly inhibits the 50S ribosome. Which of the following is an important side effect of the medication that will most likely be used in this patient?