KROK 1 2014 – Question 97 · KROK (Medicine) · Microbiology, Virology, and Immunology

A young woman suddenly developed fever up to 39°C accompanied by a strong headache. Examination revealed marked nuchal rigidity. Spinal puncture was performed. Gram-stained smear of cerebrospinal fluid contained many neutrophils and Gram-positive diplococci. What bacteria could be the cause of this disease?

  1. A. Pseudomonas aeruginosa
  2. B. Staphylococcus aureus
  3. C. Neisseria meningitidis
  4. D. Streptococcus pneumoniae
  5. E. Haemophilus influenzae
Hint

Think about which bacteria most often cause an abrupt purulent illness with these signs in a young adult, and check how the smear findings fit the usual staining of that pathogen.

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