ID BOARD REVIEW
45 YO M from Vietnam moved to the US 20 yrs ago s/p kidney Tx on tacrolimus & prednisone, c/o sudden headache & neck stiffness. LP done & CSF has 2000 WBC’s/mm3 (70% neutrophils), glucose of 10 mg/dl & gram stain has GNB’s. CSF Cx for E.coli.
Empiric Rx is:
18%
Cefepime
4%
Pipracillin/tazobactam
62%
Ceftriaxone Ivermectin
16%
ceftriaxone vanc amp
202 votes • Final results