What is the most likely cause for the following meningitis infections?

A. Measles	F. TB
B. Behcet’s disease	G. HIV
C. Neisseria Gonorrhoea	H. Cryptococcus neoformans
D. SLE	I. Neisseria meningitis
E. Group B Streptococcus	J. Coxsackie B

1. An 8 year old boy from sub-Saharan Africa comes into A&E with fever and a headache. Acid-fast bacilli were seen on a CSF smear.

2. A 6 year old girl comes in with a high fever, severe headache and confusion. There is no rash present. The parents say that she is usually well but has had a sore throat in the last few weeks.

3. A 7 year old boy arrives is brought into A&E by his worried parents. He has headache, fever, photophobia and neck stiffness. An LP revealed clear CSF. His parents say that they have never had to take him to the doctor, except for his immunisations as an infant.

4. An Afro-Caribbean 14 year old girl is referred to hospital by her GP with classic meningitis symptoms. On LP the CSF is clear. You notice a rash on her cheeks. While chasing up bloods, you notice that she has been into hospital before where she was found positive for Anti-nuclear antibody.

5. A 13 year old boy is brought in with headache, fever and photophobia by his mother. She says that she usually gives him a homeopathic remedy when he is ill but it has not worked this time. The CSF collected from the lumbar puncture is clear.

Answers:

1	F
2	I
3	J
4	D
5	A