My Masterclass exam #17177


Q1.


A 21-year-old woman presented to the Emergency Department with a 2-day history of headache and fever. On examination she had neck stiffness and a fever, but no obvious rash or focal neurology. She was given IV ceftriaxone and a lumbar puncture performed. CSF analysis showed:
Protein 0.3g/L
Glucose 2/3 plasma level
Microscopy 300 white cells, predominantly lymphocytes

The most likely diagnosis is:

A
B
C
D
E

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