A 38-year-old man with a history of alcohol abuse presents to you with nasal stuffiness, productive cough, high fever, and purulent nasal discharge for the last month. Two weeks ago, he presented to the emergency department and was given a prescription for amoxicillin/clavulanate, but pharmacy records reveal he did not fill it. Today he is brought to you by a friend after a witnessed tonic–clonic seizure.
On examination, the patient is stuporous and febrile. A full neurologic examination is difficult to perform; however, the patient opens his eyes and seems to be able to move his 4 extremities. Computed tomography of the head is shown below (see figure).
Figure.
What is the most appropriate empiric treatment for this patient?
This question appears in Med-Challenger Internal Medicine Exam Review with CME
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