DrAlex_76 Forum Guru
Topics: 120 Posts: 410
| | 08/20/08 - 05:32 PM  
 
   
 
|   #1 |
A 72 yo man with meningitis signs and symptoms. What is the best drugs of choice ? A. Ceftriaxone + Genta B. Choramphenicol + Cipro C. Cef + Vanco + Genta D. Ceft + Vanco + Ampi E. Cefepim + Clindamycin Please explain, Regards,
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| ngaybinhyen Forum Guru
Topics: 23 Posts: 657
| | 08/20/08 - 05:45 PM  
 
   
 
|   #2 |
D. as Ampi is needed Correct me if I'm wrong -t.
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| kpmle2 Forum Guru
Topics: 95 Posts: 512
| | 08/20/08 - 05:50 PM  
 
   
 
|   #3 |
D. Ceft + Vanco + Ampi covers gm +,gm - .
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| Eagle_303 Forum Guru
Topics: 77 Posts: 655
| | 08/20/08 - 05:57 PM  
 
   
 
|   #4 |
Since the patient is 72 yr old .The most probable organisms are Gm +tive Strept Pneumonei (very common) ) =DOC = Ceftriaxone + Vancomycine Gm -tive Listeria monocytogenes (second most common ) = DOC = ampicillin + Gentamycin To cover both I would go for D Best of luck
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| DrAlex_76 Forum Guru
Topics: 120 Posts: 410
| | 08/20/08 - 06:29 PM  
 
   
 
|   #5 |
bravo, D is the one Thanks Eagle for a very detail explaination !
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