Important: Therapy
Ceftriaxone IV 2g bd + Dexamethasone IV 10mg qds (started with or just before first dose of antibiotics for 4 days) Duration: refer to guidance
Aciclovir IV (10mg/kg tds) if encephalitis suspected (oral treatment never appropriate)
Add Amoxicillin IV 2g 4 hourly if ≥60 years or immunocompromised