A thin, 28-year-old homeless man stumbles into the emergency department, disheveled and seemingly disoriented. Because of the patients symptoms, a lumbar puncture is performed, with an extremely high opening pressure. The cerebrospinal fluid (CSF) collected in the first tube is colored red, but not the CSF placed in the subsequent tubes. The final tube is sent to the microbiology lab, which reveals the presence of an encapsulated urease-positive organism. What other abnormality might be discovered upon additional work-up of the patient? a. Berry aneurysm b. High immunoglobulin in the CSF c. Low peripheral leukocyte count d. Normal CSF glucose e. Staghorn calculi in the kidneys
Posted on: Tue, 29 Apr 2014 15:00:00 +0000
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