An 11-year-old girl presents with fever, headache, photophobia, - TopicsExpress

An 11-year-old girl presents with fever, headache, photophobia, and neck discomfort in the middle of summer. She is alert and oriented, but has neck pain with flexion and extension of the head. Her fundi are normal, and there are no focal neurologic findings or skin changes. A lumbar puncture reveals normal protein and glucose with a cell count of 240/mL (90% lymphocytes). Which of the following is the most likely causative organism? A. HSV-1 B. Streptococcus pneumoniae C. Neisseria meningitides D. Listeria monocytogenes E. enterovirus (coxsackievirus or echovirus)

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