year old male is admitted with a history of headache and confusion. He is
known to have mild hypertension controlled with the use of a thiazide
Since admission the patient has had two witnessed seizures.
examination he is febrile confused and agitated. It is not possible to do a
full neurological examination but there appears to be a right sided weakness,
there is no neck stiffness and Kernig’s sign cannot be elicited.
scan is preformed and this shows diffuse oedema mainly in both temporal lobes.
lumbar puncture is performed the results are as follows:
Opening pressure 150 mm of H2O
Protein 0.48 g/L
Glucose 4.3 mmol/L (blood glucose 5.5 mmol/L)
count 12 /mL (lymphocytes)
this patient which one of the following drugs would you commence immediately?