A 24yo college student presents with nausea, vomiting, headache, neck stiffness and a fever of
38.4C. What is the most appropriate empirical antibiotic to be started?
a. Ceftriaxone
b. Penicillin
c. Gentamicin
d. Tazobactam
e. Meropenem
answer: A
organism is unknown:
• <55yrs: cefotaxime 2g/6h slow IV.
• >55yrs: cefotaxime as above + ampicillin 2g IV/4h (for Listeria).
• Aciclovir if viral encephalitis suspected.
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