03-24-2008, 01:04 PM
41 yr. old woman with a history of intravenous drug abuse presents with a 1 day history of severe headache and high fever. On physical examination her temperature is 39 C. She has marked nuchal rigidity. A serologic assay for Streptococcus pneumoniae antigen is positive. Which of the following funduscopic examination findings is most likely to be present in this woman?
A Deepening of the optic cup with excavation
B Arteriolar narrowing
C Neovascularization of the optic nerve
D An elevation and swelling of the optic nerve
E Flame-shaped hemorrhages
A Deepening of the optic cup with excavation
B Arteriolar narrowing
C Neovascularization of the optic nerve
D An elevation and swelling of the optic nerve
E Flame-shaped hemorrhages