QuestionSBA
QuestionChoice
Incorrect - In cases of viral meningitis the CSF is often clear in appearance. The white blood cell count is made predominantly of lymphocytes. Glucose and protein levels are typically normal.
10008376
b
Viral
QuestionChoice
Incorrect - In fungal meningitis the CSF is typically clear or cloudy, has raised proteins, and a normal or elevated white cell count. Monocytes are the predominant white blood cell type found within the CSF.
10008377
c
Fungal
QuestionChoice
Correct - In bacterial meningitis the CSF typically has a turbid appearance. The opening pressure tends to be raised. Within the CSF, protein levels are raised, as are white blood cells, with a predominance of neutrophils.
10008375
a
Bacterial
QuestionChoice
Incorrect - The opening pressure and protein levels in meningitis caused by tuberculosis is often high, which matches the given presentation. However, meningitis associated with tuberculosis has a predominance of monocytes within the CSF, rather than the neutrophil predominance seen in this case.
10008378
d
Tuberculosis
QuestionChoice
Incorrect - This is a classic presentation of bacterial meningitis.
10008379
e
Meningitis is not indicated from this history and these results
Concept
Chapter
2693
3751
Meningitis
Topic
141
Neurology
14222
An 11-year-old boy is brought to Accident and Emergency by his parents. On examination, he has a non-blanching rash. He reports that his neck feels stiff, and he is covering his eyes to avoid the light.


A lumbar puncture is performed and his results are:


||||
|---------------------------------|:-------:|-------------------------|
|Total Protein|1.9 g/L|0.15 - 0.45|
|Glucose|0.3 mmol/L|3.2 - 4.4|
|Cell Count|9500/μL|< 5|
|Lymphocyte Count|50|60 - 70|


The cerebrospinal fluid (CSF) has a turbid appearance. The opening pressure is raised.


Which of the following types of meningitis is this indicative of?
a