A 28-year-old man arrives to the emergency department after experiencing headaches, fever, and spells of inattention for two weeks. The patient has Hodgkin lymphoma and is being treated with combined chemotherapy. The temperature is 38.2 C (100.8 F), the blood pressure is 138/84 mm Hg, and the pulse rate is 72 / minute. A lumbar puncture indicates an elevated opening pressure, whereas cerebrospinal fluid analysis reveals moderately raised protein levels and low glucose levels. The picture depicts light microscopy of cerebrospinal fluid. Which of the following should be included in initial treatment for this patient's current condition?

Question

A 28-year-old man arrives to the emergency department after experiencing headaches, fever, and spells of inattention for two weeks. The patient has Hodgkin lymphoma and is being treated with combined chemotherapy. The temperature is 38.2 C (100.8 F), the blood pressure is 138/84 mm Hg, and the pulse rate is 72 / minute. A lumbar puncture indicates an elevated opening pressure, whereas cerebrospinal fluid analysis reveals moderately raised protein levels and low glucose levels. The picture depicts light microscopy of cerebrospinal fluid.  Which of the following should be included in initial treatment for this patient's current condition?

Quizplus · Accepted Answer

Eductional Objective: Cerebrospinal fluid India ink staining can be used to diagnose patients with suspected cryptococcal meningitis. Initially, amphotericin B and flucytosine are necessary, followed by long-term fluconazole maintenance treatment.

A 28-Year-Old Man Arrives to the Emergency Department After Experiencing