11th June 2024

A 36-year-old gentleman came in with mild back pain which has been ongoing for 6 months

A 36-year-old gentleman came in with mild back pain which has been ongoing for 6 months, although worsening in the last 2 months. This is associated with fever, chills and weight loss of 10 kg. He has oral candidiasis with cervical lymphadenopathy. CXR showed miliary consolidation bilaterally. He is HIV positive, with a CD4 count of 50. MRI of the spine showed spondylodiscitis of the L3-L4.

Which is the most appropriate treatment to commence?

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