Infectious Diseases · NEET PG Preparation Medicine
A 28-year-old HIV-positive male with a CD4 count of 45/mu L presents with progressive headache, fever, and lethargy over two weeks. Fundoscopic exami…
Practice question from Infectious Diseases (NEET PG Preparation Medicine), with the correct answer and a step-by-step solution.
easy · MCQ · Q-E512E2
A 28-year-old HIV-positive male with a CD4 count of presents with progressive headache, fever, and lethargy over two weeks. Fundoscopic examination reveals papilledema. Lumbar puncture is performed, and cerebrospinal fluid (CSF) analysis shows an opening pressure of , a white cell count of (predominantly lymphocytes), protein of , and a low glucose of . Which of the following is the diagnostic test of choice for confirming the most likely etiology?
- A.CSF Cryptococcal Antigen lateral flow assayCorrect answer
- B.CSF VDRL test
- C.CSF PCR for Herpes Simplex Virus
- D.Acid-fast bacilli stain of the CSF sediment
Solution
The clinical presentation in a severely immunocompromised patient (CD4 < 100) with elevated opening pressure and lymphocytic pleocytosis is classic for cryptococcal meningitis. The CSF Cryptococcal Antigen (CrAg) lateral flow assay is extremely sensitive and specific, making it the diagnostic test of choice.
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