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28th July 2023
A 33 year old asylum seeker from West Africa attends with a 6 week history of fevers and headache.
A 33 year old asylum seeker from West Africa attends with a 6 week history of fevers and headache. Her recent migrant health check revealed she was HIV-negative. CT imaging of her head is normal. CSF analysis reveals the following:
| Opening pressure | 32 mmH20 (Normal < 20) |
| Microscopy | No organisms seen |
| White cell count | 150 cells/µL – lymphocytes 80% (normal 0-5) |
| Protein | 30 mg/dL (normal 20-40) |
| CSF glucose | 1.9 mmol/L (normal 2.5-4.4) |
| Serum glucose | 8.0 mmol/L |
What is the most likely diagnosis?
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