Figure 1060

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Viruses causing meningitis in transplant recipients. The presentation is usually with fever and headache alone or in conjunction with headache may be the initial symptom. Nuchal rigidity is rare in the transplant patient. Cerebrospinal fluid samples should be saved for viral analysis and analysis should be requested if the diagnosis is not rapidly available from standard studies.

* Cerebrospinal fluid polymerase chain reaction available to make the diagnosis but locations vary t1ncreased in transplant patients

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