Encephalitis Quiz: Ace Your Exams

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A 25-year-old woman is brought to the emergency department due to the recent onset of seizure. Her parents report that 2 days ago, she started complaining of headaches and fever after returning from a fishing trip to Florida. Temperature is 38.9°C (102°F), pulse is 75/min, and blood pressure is 120/85 mmHg. On physical examination, the patient is postictal and responds only to noxious stimuli. Pupils are equal and react sluggishly to light. Meningeal signs are positive. Imaging results are equivocal. Lumbar puncture is obtained, and the results are shown below:

Cerebrospinal fluid

Reference Range

 Opening pressure  500 mm H2O  40-180 mm H2O 
 Protein   250 mg/dL  <40 mg/dL 
 Glucose  20 mg/dL  40-70 mg/dL 
 RBCs  1000 cells//mm3  0 cells/mm3 
 WBC count   10000/µL  0-5/µL 
 Neutrophils   90%   N/A 
 Lymphocytes  10%  N/A 
 Gram stain   Negative   Negative 
 Wet mount     Retrieved from: Wikimedia Commons   N/A 


The patient is subsequently provided with a medication that binds ergosterol with subsequent formation of membrane pores. Which of the following medications was provided for this patient’s condition? 

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