Viral Meningitis — RACP Adult Medicine MCQ
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Correct answer: D — Viral meningitis
Lymphocytic predominant CSF with mildly elevated protein, normal glucose (CSF:serum ratio >0.5), and positive enterovirus PCR is viral meningitis. Enteroviruses are the commonest cause. Management is supportive. Importantly, early bacterial meningitis can also show lymphocyte predominance, so clinical context and serial CSF may be needed.
Reference: eTG Antibiotic – 2025 – Viral Meningitis