28th July 2023

A 40 year old woman with a history of myasthenia gravis presents to A&E. She has a 24 hour history of fever and rigours.

A 40 year old woman with a history of myasthenia gravis presents to A&E. She has a 24 hour history of fever and rigours. She also describes a 3 day history of dysuria. On examination, she has tenderness in the right flank. She is also noted to have bilateral ptosis. Her urine dip was positive for leukocytes, blood and nitrites.

Which of the following is the most appropriate initial antibiotic choice?

Select the SINGLE most appropriate option from the list below. Select ONE option only.