A 9-year-old boy presents to the Emergency Department with fever, headache, sore throat, and vomiting. He recently arrived from Africa with his parents. On examination, he shows ab... A 9-year-old boy presents to the Emergency Department with fever, headache, sore throat, and vomiting. He recently arrived from Africa with his parents. On examination, he shows abnormal reflexes, stiff neck, and difficulty in lifting his head and legs when lying flat. Laboratory investigations show clear CSF with lymphocytosis, normal glucose, and normal protein levels. Which organism is most likely responsible for his illness?

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Understand the Problem

The question describes the symptoms and laboratory findings of a 9-year-old boy, asking which organism is most likely responsible for his illness based on the presented case details.

Answer

Poliovirus

The final answer is Poliovirus.

Answer for screen readers

The final answer is Poliovirus.

More Information

Poliovirus is consistent with symptoms of fever, headache, sore throat, abnormal reflexes, and neck stiffness, along with clear CSF with lymphocytosis. The recent travel to Africa, where polio may still be endemic, supports this diagnosis.

Tips

Ensure to consider geographical and travel history in diagnosing viral infections.

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