QuestionSBA
QuestionChoice
This is the most common cause of meningococcal sepsis in neonates, so is unlikely to be the cause of this patient's meningitis. The rash described in the question is more typical of *Neisseria meningitidis*, rather than Group B Streptococcus.
10025186
b
Group B Streptococcus
QuestionChoice
Herpes simplex virus 2 would cause a viral meningitis, meaning the cerebral spinal fluid would show a high glucose and low protein. This patient has a bacterial meningitis, and the most likely causative organism is *Neisseria meningitidis*.
10025188
d
Herpes simplex virus 2
QuestionChoice
This patient is presenting with meningococcal disease. *Neisseria meningitidis* is the most likely causative organism. Typical features include fever, headache, neck stiffness and photophobia. The presence of a non-blanching rash indicates the infection has spread into the bloodstream.
10025185
a
*Neisseria meningitidis*
QuestionChoice
*Listeria monocytogenes* causes infections in immunosuppressed patients and can be found in patients at the extremes of age. The patient in question is more likely to be caused by *Neisseria meningitidis*.
10025187
c
*Listeria monocytogenes*
QuestionChoice
This would cause a viral meningitis, meaning the cerebral fluid analysis would show a high glucose and low protein content. This patient has a bacterial meningitis, and the most likely causative organism is *Neisseria meningitidis*.
10025189
e
Coxsackie Virus A
Concept
Chapter
2693
3751
Meningitis
Topic
141
Neurology
17435
An 18-year-old female student presents to the GP with a fever. She also reports a headache and neck stiffness. On examination, she has a temperature of 39 degree Celsius and you notice a purpuric rash on her abdomen. Cerebral spinal fluid analysis shows low glucose levels, high protein levels and an increased white cell count.

Which of the following is the most likely causative organism?
a