satheesh
Forum Junior
Topics: 7
Posts: 46
|
A 55-year-old renal transplant recipient on chronic steroid therapy is hospitalized with fever and headaches of 5 days duration. On examination, the patient is confused and has nuchal rigidity. A lumbar puncture disclosed 120 WBC (80% Lymphocytes), CSF glucose of 40 and CSF protein of 95. A smear of CSF revealed many WBC but no organisms. The most likely cause is:
A Herpes simplex meningitis
B Listeria meningitis
C Neisserial meningitis
D Pneumococcal meningitis
___________________
satheesh
|
| peekay
Forum Guru
Topics: 102
Posts: 588
|
hsv meningitis
|
| dr.shar
Forum Elite
Topics: 38
Posts: 236
|
answer is given as Listeria Meningitis
|
| oddissy4u
Forum Guru
Topics: 107
Posts: 389
|
listeria sure is frequent in renal trasnplant n IC but lymphocytosiss!!! :roll:
|
| dr.shar
Forum Elite
Topics: 38
Posts: 236
|
it is csf lymphocytosis, not peripheral
|
| usmleasr
Forum Guru
Topics: 105
Posts: 970
|
good q
|
| oddissy4u
Forum Guru
Topics: 107
Posts: 389
|
i dnt thnk listeria wud cause csf lymphocytosis(bacteria :!: )its a pict of viral disease.
|
| usmleasr
Forum Guru
Topics: 105
Posts: 970
|
Some bacteria (eg, Mycoplasma, Listeria, Leptospira species, Borrelia burgdorferi [Lyme], spirochetes) produce spinal fluid alterations that resemble the viral profile.
http://www.emedicine.com/emerg/topic309.htm
|
| oddissy4u
Forum Guru
Topics: 107
Posts: 389
|
thnx usmleasr for the info.
|
|
| |
| | | | | | | | | |
