.  A lumbar puncture is performed, and a Gram stain of the CSF obtained shows many short, gram-positive rods.   Physical examination for specific signs which are highly suggestive of Meningitis. Does the fact that the patient was a dairy farmer give anything of value to the diagnosis? What is the most likely diagnosis and treatment?

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Chapter16: Ophthalmic Surgery
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Clinical history: A 33-year-old female dairy farmer develops a severe headache and neck stiffness. On physical examination, her temperature is 38.2°C.  She has no papilledema.  A lumbar puncture is performed, and a Gram stain of the CSF obtained shows many short, gram-positive rods.  

Physical examination for specific signs which are highly suggestive of Meningitis.

  1. Does the fact that the patient was a dairy farmer give anything of value to the diagnosis?
  2. What is the most likely diagnosis and treatment?

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