15th August 2024

A 63-year-old woman is admitted to hospital with fever, dysuria and confusion

A 63-year-old woman is admitted to hospital with fever, dysuria and confusion. She was previously independent with a good functional baseline and worked as an accountant. She deteriorates despite optimal antibiotic therapy and develops an AKI requiring renal replacement therapy.

Her confusion worsens and she becomes increasingly drowsy, following which she suffers a single self-terminating seizure.

A collateral history reveals a new recent sexual partner.

Which is the single most important treatment to initiate pending further investigations?

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