A 69 year old man presents with a 3 day history of fever, headache and confusion.
A 69 year old man presents with a 3 day history of fever, headache and confusion. A CT head is normal. A lumbar puncture is done with the following results:
| Opening pressure | 15 mmH₂0 (normal < 25) |
| Microscopy | Awaited |
| White cell count | 600 cells/µL – neutrophils 95% (normal 0-5) |
| Protein | 142 mg/dL (normal < 45) |
| CSF glucose | 1.1 mmol/L (normal 2.5-4.4) |
| Serum glucose | 9.0 mmol/L |
What is the most appropriate initial antibiotic regimen?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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