Unusual Pleocytosis in Aseptic Meningitis

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To the Editor: It has been amply demonstrated that the initial pleocytosis in viral meningitis may be predominantly polymorphonuclear before shifting to the characteristic mononuclear response.1 We have been unable, however, to find reports documenting changes in pleocytosis similar to those seen in the following case of aseptic meningitis.One week before admission, while in Mexico, a 24-year-old airline stewardess experienced a self-limited, three-day diarrheal illness without fever. She remained well over the next four days, but headache, fever, vomiting and a stiff neck then rapidly developed. On admission examination revealed only a temperature of 37.4°C, with signs of . . .

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