Case Challenge # 2
- A 42 yo female is admitted with fever and LAD for 5 days. Prior history of IVDU and started on phenytoin for new onset seizures.
- PE: Tmax 101.8, HR 115, BP 90/50. Tender cervical and axillary LAD, maculopapular rash on face and arms with periorbital edema.
- Labs: WBC 14k (no Eos), Cr 1.0, AST 235, ALT 345. Blood Cx negative, HIV Ab negative, EBV and CMV serologies show prior exposure.
What is the best management step?
- A) Broad spectrum abx
- B) Prednisone
- C) ART for acute HIV
- D) Stop phenytoin
- E) NSAIDs
Look forward to the answer this Friday, 2/6/15!