#february2020mccqe1
A 4-year-old boy presents to the pediatric emergency department with the classic meningitis triad of fever, headache, and nuchal rigidity. A lumbar puncture is performed and analysis of the fluid shows an increase in polymorphonuclear cells, an increased protein level, and a decreased glucose level. Which of the following is the most common cause of meningitis in a child of this age with this clinical picture?
(A) Enteroviruses
(B) Haemophilus influenzae type B
(C) Herpes simplex virus
(D) Listeria species
(E) Streptococcus pneumoniae
A 4-year-old boy presents to the pediatric emergency department with the classic meningitis triad of fever, headache, and nuchal rigidity. A lumbar puncture is performed and analysis of the fluid shows an increase in polymorphonuclear cells, an increased protein level, and a decreased glucose level. Which of the following is the most common cause of meningitis in a child of this age with this clinical picture?
(A) Enteroviruses
(B) Haemophilus influenzae type B
(C) Herpes simplex virus
(D) Listeria species
(E) Streptococcus pneumoniae
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