16th August 2024

A 27-year-old PhD student is admitted with headache, meningism, and confusion

A 27-year-old PhD student is admitted with headache, meningism, and confusion. There is no recent travel history. He is febrile, and there is nuchal rigidity. There are no known allergies.

A CT demonstrates no contraindications to LP, and this is undertaken and samples sent to the lab. The FY2 doctor who carried out the procedure reports that the CSF was turbid and the opening pressure was 28 cmH₂O.

Which is the single most appropriate treatment combination to initiate?

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