Case-Based Modules > Case 33 > Stage 3

Sorry! This CSF profile has a profound neutrophilic pleocytosis with elevated protein and decreased glucose. This would be suggestive of a significant bacterial meningoencephalitis; certainly would be consistent with S. pneumo, N. meningitidis, etc. However, the patient's MRI and clinical findings suggest a rhomboencephalitis component to this. What is the most common organism to cause an infectious rhomboencephalitis, and what would the CSF profile look like as a result of it?

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