A 67-year-old man presents with fever, headache, photophobia and neck stiffness. He is hypotensive and confused. After drawing blood cultures, what is...

Question

A 67-year-old man presents with fever, headache, photophobia and neck stiffness. He is hypotensive and confused. After drawing blood cultures, what is the most appropriate empiric antimicrobial regimen?

Accepted Answer

IV ceftriaxone plus vancomycin, with ampicillin added if Listeria is a concern

Answer

Oral amoxicillin alone

Answer

IV ciprofloxacin alone

Answer

No antibiotics until CT brain is completed

Answer

Oral azithromycin plus prednisone

ca-mccqe1 MCQ (SBA): Acute bacterial meningitis

A 67-year-old man presents with fever, headache, photophobia and neck stiffness. He is hypotensive and confused. After drawing blood cultures, what is the most appropriate empiric antimicrobial regimen?