In pneumococcal meningitis empirical treatment given is: (A) Pencillin G, (B) Doxycycline, (C) Tetracycline, (D) Vancomycin + ceftriaxone
Answer is D. Currently, dual therapy using high dose vancomycin (60 mg/kg/day) and either a third-generation cephalosporin (cefotaxime or ceftriaxone) or rifampin has been proposed as the optimal empirical treatment for suspected pneumococcal meningitis until antibiotic susceptibilities are known Ref Harrison20th edition pg 2345