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note:this is a clinical diagnosis, though CSF studies indeterminate as below.nn71 yo F with AMS.Question head bleed.(Initial indication)nnNeurology consulted.History of lyme, though lyme meningoencephalitis thought unlikely.CSF with pleocytosis and normal glucose, suggesting viral encephalitis.VZV IgG was positive, but this was run on SERUM not CSF.Serum VZV IgM also returned positive which is indicative of an acute VZV infection. However, CSF VZV IgG was negative and IgM was indet

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