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A 39-year-old woman was admitted to the hospital because of a recurring headache, photophobia, and a stiff neck.
The woman had been well until three months earlier, when a headache developed that was worse when she was lying down. It became more severe over the next few days, and photophobia and neck stiffness developed. Ibuprofen and acetaminophen gave minimal relief. Ten days after the onset of symptoms, she came to the emergency department of this hospital. The temperature was 38.8°C. A lumbar puncture was performed (Table 1). She was admitted to the hospital because meningitis was suspected. The
Differential Diagnosis
Dr. Karen K. Ballen's Diagnosis
Pathological Discussion
Discussion of Management
Molecular Targets for Therapy
Chemotherapy
Anatomical Diagnosis
Source Information
From the Division of Hematology and Oncology, Department of Medicine (K.K.B.), and the Department of Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Medicine (K.K.B.) and Pathology (R.P.H.), Harvard Medical School.
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