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. Photo includes CSF stain with short gram-positive rods. Why was the CSF obtained? What are the dangers with collecting this type of specimen? What tests would you run?

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Chapter14: Seeing And Hearing
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  1. 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. Photo includes CSF stain with short gram-positive rods.
    1. Why was the CSF obtained?
    2. What are the dangers with collecting this type of specimen?
    3. What tests would you run?
    4. Does the fact that the patient was a dairy farmer give anything of value to the diagnosis?
    5. What is the most likely diagnosis and treatment?

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