7-year-old Boy in Pediatrics — 7yo Child | Pediatric Infectious | SMLE Q#1233

SMLE Question #1233

Pediatrics Pediatric Infectious

Objective: OBJ-113

Last updated: February 2026
A 7-year-old boy has 3 days of fever, severe headache, vomiting, and neck stiffness. One week ago, he had sore throat and tender cervical lymphadenopathy. He has no chronic medical conditions and no known immunodeficiency. Lumbar puncture is performed, and cerebrospinal fluid results are shown below. Which of the following is the most likely causative organism?

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