By vgreene, 17 July, 2015 Hospitalize and obtain ID consult; ✓ for evidence of endocarditis and meningitis
By vgreene, 17 July, 2015 Ceftriaxone<sup>39,40</sup> 1 g IM x1 + azithromycin<sup>41</sup> 1 g PO x1
By vgreene, 17 July, 2015 Test treat empirically preferably simultaneously consider ID consult refer recent1 sex partners for eval tx
By vgreene, 17 July, 2015 Refer recent<sup>30</sup> sex partner for eval/testing/presumptive dual tx; for women and heterosexual men, consider EPT<sup>31</sup> w/ cefixime 400 mg PO x1 + azithromycin 1 g PO x1, preferably on same day