]> 2026-07-31T16:30:54+00:00 WBR1096 0 en HSV-1 The CSF picture in this case points out to a viral encephalitis more specific to Herpes encephalitis. High protein and low/normal glucose is specific for viral meningitis. Cerebral Malaria This is the incorrect answer as thick and thin smear were both negative. Quinine was started as an empirical therapy as the patient is an immigrant from Haiti where malaria is endemic. It should be stopped immediately as son as thick and thin smear are negative. Tubercular meningitis TB meningitis is the incorrect answer as it presents in CSF as low glucose and high protein and mixed cells < 300/mm³ Meningococcal meningitis Acute bacterial meningitis has the CSF picture of low glucose, high protein and high cells high, often > 300/mm³. Neurocysticercosis Neurocysticercosis also presents with similar complaints and CSF picture. It is the wrong answer because CT scan is negative for any abnormalities. CT scan is very sensitive for neurocysticercosis and cysts will be seen on the CT scan. Inpatient Facilities Chetan Lokhande An 11-month-old previously healthy African American female from Haiti comes to Emergency room(ER) with generalized tonic clonic seizures with 1-day history of lethargy, fever and altered mental status. Enroute to hospital, emergency medical team intubated her and gave a dose of diazepam, with no remission. In the ER 1 more dose of diazepam was given and patient was transferred to ICU for further management, where vitals were within normal limits. Overnight EEG showed a pattern of status epileptics. The patient was medically paralyzed and put on a ventilator. Complete blood count, other labs and CT scan all are within normal limits. She was given a dose of quinine for malaria, but stopped due to negative thick and thin smear. A Lumbar puncture was done which revealed: CSF Glucose 60 mg/dl <br> CSF protein 90 mg/dl <br> CSF WBC 70 cell/ml <br> Culture negative for any organism <br> Opening pressure normal <br> What is the most common cause? A Neurology Infectious Disease Pediatrics 2020-10-28T02:36:12Z 2459150.6084722 WBR1096