26th June 2023

A 30-year-old lady is admitted to AMU with confusion and swinging fevers. She became unwell whilst backpacking in Vietnam

A 30-year-old lady is admitted to AMU with confusion and swinging fevers. She became unwell whilst backpacking in Vietnam 3 weeks ago, with fevers and myalgia, but did not seek medical attention. Since her return 5 days ago, she has not left bed and her housemate is concerned she is not acting like herself. On assessment, she is confused (AMTS 7/10), tachycardic, and febrile.

A CT head is performed:

CT head

Given the most likely diagnosis, which of the following is unlikely to be part of the initial management plan?

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