A 69 year old man presents with a 3 day history of fever, headache and confusion. | Medibuddy
28th May 2025

A 69 year old man presents with a 3 day history of fever, headache and confusion.

A 69 year old man presents with a 3 day history of fever, headache and confusion. A CT head is normal. A lumbar puncture is done with the following results:

Opening pressure 15 mmH₂0 (normal < 25)
Microscopy Awaited
White cell count 600 cells/µL – neutrophils 95% (normal 0-5)
Protein 142 mg/dL (normal < 45)
CSF glucose 1.1 mmol/L (normal 2.5-4.4)
Serum glucose 9.0 mmol/L

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