1 Day Of Fever in Medicine / Internal Medicine — 80yo Man | Infectious Diseases | SMLE Q#12033

SMLE Question #12033

Medicine / Internal Medicine Infectious Diseases

Objective: OBJ-349

Last updated: February 2026
An 80-year-old man from a nursing home presents with 1 day of fever, worsening confusion, and dysuria with urinary frequency. He has long-standing hypertension. He is agitated but follows simple commands, and there are no focal neurologic deficits. Urinalysis shows pyuria and bacteriuria. What is the most appropriate treatment to reverse his CNS symptoms?

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