ABP Pediatric Infectious Diseases Practice Questions - ABP Pediatric Infectious Diseases Subspecialty Certifying Examination Exam

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A 4-year-old has fever, neck stiffness, and photophobia. CSF shows 2000 WBC/mm^3 (95% neutrophils), glucose 20, protein 200. Gram stain shows gram-negative diplococci. Which empiric therapy is most appropriate while awaiting culture?

Ceftriaxone plus vancomycin Ampicillin plus gentamicin Meropenem monotherapy Ceftriaxone alone

Correct Answer:

Ceftriaxone plus vancomycin

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