A CT scan demonstrates inflammation of extraocular muscles, fat stranding, and anterior displacement of the globe, with frontal sinusitis. There is no evidence on CT of intracranial inflammation, nor any vascular compromise. While awaiting the results of blood cultures, which of the following antibiotic regimens is MOST appropriate to administer at this time?
A. Levofloxacin Wrong Choice!
B. Vancomycin and metronidazole Wrong Choice!
C. Vancomycin and ceftriaxone Correct Choice
D. Piperacillin-tazobactam Wrong Choice!
Answer:C
A CT scan demonstrates inflammation of extraocular muscles, fat stranding, and anterior displacement of the globe, with frontal sinusitis. There is no evidence on CT of intracranial inflammation, nor any vascular compromise. While awaiting the results of blood cultures, which of the following antibiotic regimens is MOST appropriate to administer at this time?
A. Levofloxacin Wrong Choice! B. Vancomycin and metronidazole Wrong Choice! C. Vancomycin and ceftriaxone Correct Choice D. Piperacillin-tazobactam Wrong Choice!