A Bengali women (previously healthy) had moderate to high fever for 48 hrs, neck rigidity, talks irrelevantly, has had 2 episodes of GTCS 1st line of management before sending for investigations? (AIIMS Nov 2013)
|D||IV amphotericin B|
This patient has acute meningitis with raised intracranial pressure. So before we do lumber puncture is done, her raised ICP should be lowered by giving injection mannitol. Otherwise cerebellar tonsils will come down from foramen magnum and will lead to immediate death.