09-10-2011, 04:50 PM
A 70 year old nursing home resident is admitted to the ED. She is obtunded & ill appearing. The nursing home staff tell that she has experienced low grade fever, poor appetite and lethargy over several days. A LP is done which reveals gram positive rods and many white cells. Listeria is diagnosed and appropriate antibiotics are started. Which of the below will distinguish Listeria from other causes of bacterial meningitis?
1. Photophobia is common.
2. WBC counts are often elevated in CSF.
3. More neutrophils in CSF differential.
4. More frequent neck rigidity.
5. Often subacute presentation.
1. Photophobia is common.
2. WBC counts are often elevated in CSF.
3. More neutrophils in CSF differential.
4. More frequent neck rigidity.
5. Often subacute presentation.