]> 2026-07-31T10:04:34+00:00 WBR0705 0 en HIV testing Incorrect Although his HIV status should be checked, the treatment should come first. IV antiviral theraby Incorrect Viral meningitis CSF findings has normal glucose concentration, normal or slightly elevated opening pressure, normal or slightly elevated protein concentration. Start amphotericin B and flucytosine Correct amphotericin B and flucytosine are the treatment of choice in cryptococcal meningitis Start gentamicine and ceftriaxone Incorrect Bacterial meningitis CSF examination include: polymorphonuclear leukocytosis, decreased glucose concentration, increased opening pressure, and protein concentration. Start vancomycin Incorrect CSF examination don’t show bacterial meningitis The patient high risk behavior put him at risk of having HIV. The CSF findings are characteristic for cryptococcal meningitis , which is managed by amphotericin B and flucytosine.<br/> '''Educational Objective:''' <br/> '''References:''' Emergency Room 40 years old man IV drug abuser, present to ED complaining of fever, headache, vomiting, and blurring of vision. His symptoms started 10 days ago with a progressive course. He had never been tested for HIV before. Physical exam shows neck stiffness and bilateral papilledema. CSF fluid examination shows marked elevated opening pressure, low WBC count with lymphocyte predominance, low glucose, and elevated proteins. What is the best next step in the management of this patient? C Infectious Disease 2020-10-28T01:26:57Z 2459150.5603819 WBR0705