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Case of the Month - August 2013

Linda de Gouveia and Colleen Bamford - SASCM

A 19-year-old female university student was admitted to casualty with a 26-hour history of high fever, chills, severe headache and a stiff neck. Soon after arriving at casualty she vomited twice. She had received all appropriate immunizations and was otherwise healthy. No travel history was available.

  • Temp: 39.9° C
  • Pulse 124/minute
  • respiratory rate 20/minute
  • BP 105/71 mmHg
  • No rash

Question 1: What is the clinical diagnosis?

Continue to Answer 1