ONe of the questions on the Free NBME practice material
presents a woman with a fever and a seizure, and confusion.
MRI shows bitemporal hyperintensities.
LP is done. It shows 340 RBC's
leukocyte count 121 (88% monocytes)
protien concentration 78
the answer is herpes encephalitis.
why would monocytes predominate on the LP. Should there be lymphocyte predominance???
presents a woman with a fever and a seizure, and confusion.
MRI shows bitemporal hyperintensities.
LP is done. It shows 340 RBC's
leukocyte count 121 (88% monocytes)
protien concentration 78
the answer is herpes encephalitis.
why would monocytes predominate on the LP. Should there be lymphocyte predominance???
