10 Days Of Worsening in Medicine / Internal Medicine — 32yo Man | Infectious Diseases | SMLE Q#20273
SMLE Question #20273
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: July 2026
A 32-year-old man presents to the emergency department with 10 days of worsening headache, fever, neck stiffness, and photophobia after returning from a 6-week trip to India. He reports night sweats and unintentional weight loss. Examination shows nuchal rigidity without focal neurologic deficits. Lumbar puncture is performed. Which is the most likely cause of his meningitis syndrome?
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