Microbiology Case 147 January 4, 2025 rmalaca1 1. Presented by Julia Gales, M.D. and reviewed by Heba Mostafa, M.B.B.Ch., Ph.D. A patient with no significant medical history presents to the emergency department with a persistent headache, neck stiffness, and transient speech issues. A week before the onset of the headache, the patient noted back pain with an associated rash. There were no findings on head CT or MRI. A lumber puncture was performed: CSF cell count: Appearance: Clear Color: No color White blood count: 1,059 cu/mm Red blood count: 1,000 cu/mm CSF differential:Lymphocytes absolute #: 949 cu/mm Neutrophils absolute #: 10 cu/mm Monocytes absolute #: 51 cu/mm Eosinophils absolute #: 0 cu/mm Blasts absolute #: 0 cu/mm Rash of a similar patient: Question Where does the patient’s virus typically reside in a dormant state following initial infection?A. MacrophagesB. Mediastinal lymph nodesC. Dorsal root gangliaD. Red blood cells Loading...