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    Subjects/Microbiology/Gram Stain — Technique and Interpretation
    Gram Stain — Technique and Interpretation
    medium
    bug Microbiology

    A 35-year-old woman from Delhi presents to the emergency department with acute onset fever (39.2°C), severe headache, neck stiffness, and altered mental status. Clinical suspicion for bacterial meningitis is high. A lumbar puncture is performed and cerebrospinal fluid (CSF) is obtained. The fluid appears turbid and slightly hemorrhagic. What is the most appropriate immediate next step in management?

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