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Meningitis Case Study #3 Patien t A: A 73-year-old Guatemalan man named Francisco Salazar was brought into the ER by his daughter with a chief complaint of a 5-day history of fever, back and neck pain, headache, and confusion. Franciscos daughter notes that they live on a dairy farm and he has a history of cirrhosis and non-insulin dependent diabetes. A lumbar puncture was performed for cerebrospinal fluid (CSF) analysis. Patient B: Alice Chen, a 6-year-old female, presented to the emergency department with a 4-day history of worsening headache and a rash on her trunk. Her mother mentioned that over-the- counter medications had no effect on her headache. Alice mentioned that the bright lights o the examination room hurt her eyes and she stated that her head hurts all over. She also had difficulty trying to move her neck. A physical exam revealed some vesicular lesions on her hands feet. A lumbar puncture was also performed for cerebrospinal fluid analysis.
For patient A & B, what type of meningitis do they appear to have?

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Answer #1

Patient A: Parasitic meningitis.

Commonly seen patient diary farm, history of cirrhosis.

Patient B:

Viral infection.

This is common among children.

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