A 25-year-old presents with fever, neck stiffness, and altered mental status. After blood cultures are drawn, what is the next best step?...

Question

A 25-year-old presents with fever, neck stiffness, and altered mental status. After blood cultures are drawn, what is the next best step?

Accepted Answer

Start empiric IV antibiotics immediately (and dexamethasone when indicated)

Answer

Wait for CT before antibiotics in all cases

Answer

Perform LP before starting antibiotics regardless of status

Answer

Start antivirals only

Answer

Give prophylactic rifampin to close contacts before treating the patient

us-abem MCQ (SBA): Bacterial Meningitis-Initial Management