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lymphadenopathy. Diagnostic Workup Lumbar puncture showed elevated CSF pressure with 179 cells (lymphocytes), normal glucose (63 mg/dL), elevated protein (97 mg/dL), and absence of acid-fast bacilli on Ziehl-Neelsen staining. Gram stain, bacterial cultures, and PCR for mycobacterium were negative. Intradermal Mantoux skin test was reactive and showed

lymphadenopathy. Diagnostic Workup Lumbar puncture showed elevated CSF pressure with 179 cells (lymphocytes), normal glucose (63 mg/dL), elevated protein (97 mg/dL), and absence of acid-fast bacilli on Ziehl-Neelsen staining. Gram stain, bacterial cultures, and PCR for mycobacterium were negative. Intradermal Mantoux skin test was reactive and showed

lymphadenopathy. Diagnostic Workup Lumbar puncture showed elevated CSF pressure with 179 cells (lymphocytes), normal glucose (63 mg/dL), elevated protein (97 mg/dL), and absence of acid-fast bacilli on Ziehl-Neelsen staining. Gram stain, bacterial cultures, and PCR for mycobacterium were negative. Intradermal Mantoux skin test was reactive and showed

arc at the top border and includes a circular outline around a focal area in the lower half. A text

arc at the top border and includes a circular outline around a focal area in the lower half. A text

arc at the top border and includes a circular outline around a focal area in the lower half. A text

syndrome presented to the ER with a severe headache. He had been discharged from the pediatric unit for lower extremity pain a few weeks prior. He required prior exchange transfusions and intubation, with other complications including salmonella osteomyelitis, cholestasis, and nephropathy. He had been on hydroxyurea therapy since

syndrome presented to the ER with a severe headache. He had been discharged from the pediatric unit for lower extremity pain a few weeks prior. He required prior exchange transfusions and intubation, with other complications including salmonella osteomyelitis, cholestasis, and nephropathy. He had been on hydroxyurea therapy since

syndrome presented to the ER with a severe headache. He had been discharged from the pediatric unit for lower extremity pain a few weeks prior. He required prior exchange transfusions and intubation, with other complications including salmonella osteomyelitis, cholestasis, and nephropathy. He had been on hydroxyurea therapy since