Case 42172

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Abstract
Presentation of CaseA twenty-nine-year-old woman entered the hospital because of poliomyelitis.Four days previously she had a sore throat. The next day persistent stiffness of the neck was noted. The day before entry she had a throbbing headache, and she felt febrile and slept poorly.Physical examination was negative except for marked stiffness of the neck.The temperature was 100.6°F. by rectum, the pulse 108, and the respirations 12. The blood pressure was 106 systolic, 78 diastolic.Examination of the blood revealed a hemoglobin of 14 gm. per 100 ml. and a white-cell count of 11,500. The urine was . . .