He had initially been admitted to the local hospital with presumed bacterial meningitis following presentation with headache, fever and meningism 10 days prior. Cerebrospinal fluid (CSF) prior to ...

Criteria for PM diagnosis included (1) positive CSF culture or (2) when no CSF was available, positive blood culture or urinary antigen plus either >5 white cells in the CSF and/or signs of meningism ...

The Glasgow coma score was 9–10 points. The movements of the neck were restrictive, showing meningism signs. Muscle reflexes could be triggered on both sides and were normal. Muscle tone and strength ...