What is the next best step in the management of this patient?

A 47-year old man comes to the emergency department with fever, headache, photophobia, and a stiff neck.

What is the next best step in the management of this patient?
A . Head Ct scan
B . Lumbar puncture
C . Ceftriaxone and vancomycin

View Answer

Answer: B

Explanation:

When you suspect bacterial meningitis, administer antibiotics quickly. Further, do blood cultures stat simultaneously with a lumbar puncture (LP), or immediately prior. Penicillin can never be used as empiric therapy for meningitis; it is not sufficiently broad in coverage to be effective empiric therapy. In this case, perform the LP.