11th June 2024

A 32-year-old man presents with back pain and spasms, which have been worsening for 2 months

A 32-year-old man presents with back pain and spasms, which have been worsening for 2 months. He has a low-grade temperature but is otherwise stable. He is currently homeless. He last used IV drugs 8 months ago. The neurological exam is unremarkable. 2 serial Blood cultures showed gram positive cocci in both bottles. MRI demonstrates discitis at the level of T4/T5.

What is the most appropriate treatment?

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