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19th June 2023
A 27-year-old schoolteacher presents to A&E with a headache, myalgia, and neck stiffness
A 27-year-old schoolteacher presents to A&E with a headache, myalgia, and neck stiffness. On examination, no focal neurology was present. CT head is normal, and lumbar puncture shows:
| Appearance | Cloudy | |
| Protein | 0.6 g/L | (<0.45 g/L ) |
| Glucose | 1.9 mmol/L | (2.5-4.4 mmol/L ) |
| White cells | 380 cells/μL (predominantly polymorphs) | <5 cells/μL |
| Gram stain | Gram positive diplococci | |
Of the following options, which is the most appropriate antibiotic regimen?
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