Q:

A 30 year old man is suffering from fever, rash and photophobia. Doctors are suspecting he is suffering from meningitis. Which is the best medication for this condition?

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A 30 year old man is suffering from fever, rash and photophobia. Doctors are suspecting he is

suffering from meningitis. Which is the best medication for this condition?


  1. Ampicillin
  2. Cefotaxime
  3. Tetracycline
  4. Acyclovir
  5. Dexamethasone

All Answers

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The key is B. Cefotaxime. [The patient is getting probable meningococcal meningitis. Before

confirming the diagnosis suggested treatment is, where the organism is unknown:

• <55yrs: cefotaxime 2g/6h slow IV.

• >55yrs: cefotaxime as above + ampicillin 2g IV/4h (for Listeria). So in given case Cefotaxime is

the option. Ref: OHCM, 9th edition, page 832].

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