A 45-year-old man from Southeast Asia presents with fever, severe headache, neck stiffness, and photophobia for 4 days. CSF shows lymphocytic pleocytosis (180 WBC, 70% lymphocytes), elevated protein (150 mg/dL), and normal glucose. PCR for HSV is negative. Which of the following is most likely to be identified on serology or tissue culture?

  1. A)Dengue virus
  2. B)West Nile virus
  3. C)Enterovirus 71
  4. D)Zika virus
  5. E)Japanese encephalitis virusGABARITO

Explicação

Japanese encephalitis virus is endemic in Southeast Asia and causes severe meningoencephalitis with lymphocytic CSF pleocytosis and normal glucose. It is transmitted by Culex mosquitoes and remains the most common cause of encephalitis in this region. Geograph... Ver explicação completa e trilha adaptativa →

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