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Figure 1. A 26-year-old man with a one-day history of mild headache and fever was admitted to the hospital after having a seizure at home. He had had no contact with other sick people. On admission the patient's consciousness was impaired (score on the Glasgow coma scale, 10), but he had no neck stiffness. He was febrile (temperature, 41°C), with hypotension, leukopenia, and thrombocytopenia. Shortly after admission he had another seizure. The cerebrospinal fluid contained 165 red cells and 18 white cells per cubic millimeter, with 60 percent neutrophils, 5 percent band forms, 29 percent lymphocytes, and 6 percent . . . [Full Text of this Article] |
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