A 3-year-old boy presents with sudden onset of fever, irritability, and neck stiffness. Vital signs show temperature 39.2°C, heart rate 118/min, blood pressure 102/68 mmHg, and respiratory rate 24/min. CSF analysis reveals lymphocytic pleocytosis (185 cells/μL), elevated protein (78 mg/dL), and normal glucose (52 mg/dL). Gram stain is negative. CSF viral culture and PCR are pending. Which virus most commonly causes this clinical meningitis syndrome?
- A)Mumps virus
- B)Poliovirus
- C)West Nile virus
- D)Enterovirus (coxsackievirus, echovirus)GABARITO
- E)Rabies virus
Explicação
Enteroviruses (coxsackievirus, echovirus) are the most common cause of aseptic meningitis in children, accounting for >80% of cases with identified viral etiology. Presentation includes fever, meningeal signs, and characteristic CSF findings with lymphocytic p... Ver explicação completa e trilha adaptativa →