A 28-Year-Old Man Comes to the Emergency Department Due to 2

A 28-year-old man comes to the emergency department due to 2 weeks of headaches, fever, and episodes of inattentiveness.  The patient has a history of Hodgkin lymphoma and is undergoing treatment with combination chemotherapy.  Temperature is 38.2 C (100.8 F) , blood pressure is 138/84 mm Hg, and pulse is 72/min.  Lumbar puncture reveals an elevated opening pressure, and cerebrospinal fluid analysis shows moderately increased protein levels and low glucose levels.  Light microscopy of the cerebrospinal fluid is shown in the image. Which of the following should be included in initial treatment for this patient's current condition?

A) Amphotericin B
B) Ampicillin
C) Ceftriaxone
D) Ganciclovir
E) Pyrimethamine
F) Voriconazole

Correct Answer:

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