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 Best of Five 2.242

 

   

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BOF: 2.242

A 53 year old female presents with fever. There is no past history of note and she is not on any drugs.

On examination you note that she is confused and that there is neck stiffness and Kernig’s sign is positive.

A lumbar puncture is performed and the CSF shows

Protein 0.6 g/L

Cells 85 /mL-1

Neutrophils 90%

Glucose 1.9 mmol/L (blood glucose 6.2 mmol/L)

In this patient which one of the following would be the most likely causative organism?

a)      Streptococcus pneumoniae

b)      Staphylococcus aureus

c)      Streptococcus pyogenes

d)     Mycobacterium tuberculosis

e)      Listeria monocytogenes

 

 

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