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Clinically useful or important clues to the cause of chronic meningitis

Clinically useful or important clues to the cause of chronic meningitis
Clue Diagnosis
Positive tuberculin skin test or interferon-gamma release assay Tuberculosis
Residence or travel to the southwestern United States, southern California, or Mexico Coccidioidomycosis
Hypothalamic, optic, or pituitary lesions on cranial imaging Sarcoidosis
Uveitis/iritis Sarcoidosis, Behçet's disease, Vogt-Koyanagi-Harada syndrome
Radiculopathy and/or cranial nerve palsies Lyme disease
Prior residence in Mexico, Central or South America, India, sub-Saharan Africa, or the Caribbean Cysticercosis
Exposure to unpasteurized milk or contact with cows, goats, swine, or sheep (including butchering or working in a packing house) Brucellosis
Peripheral 7th nerve paralysis Sarcoidosis
Diabetes insipidus Sarcoidosis
Poliosis (whitening of the eyebrows and eyelashes and vitiligo) Vogt-Koyanagi-Harada syndrome
Recurrent genital or oral ulcerations Behçet's disease
A preexisting immunosuppressive condition or therapy Cryptococcosis, tuberculosis, toxoplasmosis, endemic mycoses
Predominately neutrophilic CSF pleocytosis Nocardiosis, actinomycosis, aspergillosis, systemic lupus erythematosus, chemical or drug-induced meningitis
Eosinophilic CSF pleocytosis Coccidioidomycosis, lymphoma, Angiostrongylus, cysticercosis, schistosomiasis
Hypogammaglobulinemia Enterovirus
CSF: cerebrospinal fluid.
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