id sid tid token lemma pos cord-327444-y2464gjh 1 1 key key NN cord-327444-y2464gjh 1 2 : : : cord-327444-y2464gjh 2 1 cord-327444-y2464gjh cord-327444-y2464gjh NN cord-327444-y2464gjh 2 2 authors author NNS cord-327444-y2464gjh 2 3 : : : cord-327444-y2464gjh 2 4 Wilson Wilson NNP cord-327444-y2464gjh 2 5 , , , cord-327444-y2464gjh 2 6 M.R. M.R. NNP cord-327444-y2464gjh 2 7 title title NN cord-327444-y2464gjh 2 8 : : : cord-327444-y2464gjh 2 9 Meningitis meningitis NN cord-327444-y2464gjh 2 10 , , , cord-327444-y2464gjh 2 11 Viral viral JJ cord-327444-y2464gjh 2 12 date date NN cord-327444-y2464gjh 2 13 : : : cord-327444-y2464gjh 2 14 2014 2014 CD cord-327444-y2464gjh 2 15 - - HYPH cord-327444-y2464gjh 2 16 05 05 CD cord-327444-y2464gjh 2 17 - - HYPH cord-327444-y2464gjh 2 18 01 01 CD cord-327444-y2464gjh 2 19 journal journal NN cord-327444-y2464gjh 2 20 : : : cord-327444-y2464gjh 2 21 Encyclopedia Encyclopedia NNP cord-327444-y2464gjh 2 22 of of IN cord-327444-y2464gjh 2 23 the the DT cord-327444-y2464gjh 2 24 Neurological Neurological NNP cord-327444-y2464gjh 2 25 Sciences Sciences NNPS cord-327444-y2464gjh 2 26 DOI DOI NNP cord-327444-y2464gjh 2 27 : : : cord-327444-y2464gjh 2 28 10.1016 10.1016 CD cord-327444-y2464gjh 2 29 / / SYM cord-327444-y2464gjh 2 30 b978 b978 NN cord-327444-y2464gjh 2 31 - - HYPH cord-327444-y2464gjh 2 32 0 0 CD cord-327444-y2464gjh 2 33 - - HYPH cord-327444-y2464gjh 2 34 12 12 CD cord-327444-y2464gjh 2 35 - - HYPH cord-327444-y2464gjh 2 36 385157 385157 CD cord-327444-y2464gjh 2 37 - - HYPH cord-327444-y2464gjh 2 38 4.00384 4.00384 CD cord-327444-y2464gjh 2 39 - - SYM cord-327444-y2464gjh 2 40 5 5 CD cord-327444-y2464gjh 2 41 sha sha NNP cord-327444-y2464gjh 2 42 : : : cord-327444-y2464gjh 3 1 699c921d16635997db00f4e8e7201271713aed4b 699c921d16635997db00f4e8e7201271713aed4b CD cord-327444-y2464gjh 3 2 doc_id doc_id CD cord-327444-y2464gjh 3 3 : : : cord-327444-y2464gjh 4 1 327444 327444 CD cord-327444-y2464gjh 4 2 cord_uid cord_uid NN cord-327444-y2464gjh 4 3 : : : cord-327444-y2464gjh 5 1 y2464gjh y2464gjh NNS cord-327444-y2464gjh 6 1 This this DT cord-327444-y2464gjh 6 2 article article NN cord-327444-y2464gjh 6 3 provides provide VBZ cord-327444-y2464gjh 6 4 an an DT cord-327444-y2464gjh 6 5 overview overview NN cord-327444-y2464gjh 6 6 of of IN cord-327444-y2464gjh 6 7 the the DT cord-327444-y2464gjh 6 8 pathogenesis pathogenesis NN cord-327444-y2464gjh 6 9 , , , cord-327444-y2464gjh 6 10 epidemiology epidemiology NN cord-327444-y2464gjh 6 11 , , , cord-327444-y2464gjh 6 12 causes cause NNS cord-327444-y2464gjh 6 13 , , , cord-327444-y2464gjh 6 14 clinical clinical JJ cord-327444-y2464gjh 6 15 presentation presentation NN cord-327444-y2464gjh 6 16 , , , cord-327444-y2464gjh 6 17 laboratory laboratory NN cord-327444-y2464gjh 6 18 diagnosis diagnosis NN cord-327444-y2464gjh 6 19 , , , cord-327444-y2464gjh 6 20 and and CC cord-327444-y2464gjh 6 21 treatment treatment NN cord-327444-y2464gjh 6 22 of of IN cord-327444-y2464gjh 6 23 the the DT cord-327444-y2464gjh 6 24 most most RBS cord-327444-y2464gjh 6 25 common common JJ cord-327444-y2464gjh 6 26 causes cause NNS cord-327444-y2464gjh 6 27 of of IN cord-327444-y2464gjh 6 28 viral viral JJ cord-327444-y2464gjh 6 29 meningitis meningitis NN cord-327444-y2464gjh 6 30 in in IN cord-327444-y2464gjh 6 31 the the DT cord-327444-y2464gjh 6 32 United United NNP cord-327444-y2464gjh 6 33 States States NNP cord-327444-y2464gjh 6 34 . . . cord-327444-y2464gjh 7 1 It -PRON- PRP cord-327444-y2464gjh 7 2 also also RB cord-327444-y2464gjh 7 3 summarizes summarize VBZ cord-327444-y2464gjh 7 4 other other JJ cord-327444-y2464gjh 7 5 infectious infectious JJ cord-327444-y2464gjh 7 6 and and CC cord-327444-y2464gjh 7 7 noninfectious noninfectious JJ cord-327444-y2464gjh 7 8 causes cause NNS cord-327444-y2464gjh 7 9 of of IN cord-327444-y2464gjh 7 10 lymphocytic lymphocytic JJ cord-327444-y2464gjh 7 11 or or CC cord-327444-y2464gjh 7 12 aseptic aseptic JJ cord-327444-y2464gjh 7 13 meningitis meningitis NN cord-327444-y2464gjh 7 14 . . . cord-327444-y2464gjh 8 1 The the DT cord-327444-y2464gjh 8 2 concept concept NN cord-327444-y2464gjh 8 3 that that IN cord-327444-y2464gjh 8 4 agents agent NNS cord-327444-y2464gjh 8 5 other other JJ cord-327444-y2464gjh 8 6 than than IN cord-327444-y2464gjh 8 7 bacteria bacteria NNS cord-327444-y2464gjh 8 8 can can MD cord-327444-y2464gjh 8 9 invade invade VB cord-327444-y2464gjh 8 10 the the DT cord-327444-y2464gjh 8 11 central central JJ cord-327444-y2464gjh 8 12 nervous nervous JJ cord-327444-y2464gjh 8 13 system system NN cord-327444-y2464gjh 8 14 ( ( -LRB- cord-327444-y2464gjh 8 15 CNS CNS NNP cord-327444-y2464gjh 8 16 ) ) -RRB- cord-327444-y2464gjh 8 17 began begin VBD cord-327444-y2464gjh 8 18 with with IN cord-327444-y2464gjh 8 19 the the DT cord-327444-y2464gjh 8 20 emergence emergence NN cord-327444-y2464gjh 8 21 of of IN cord-327444-y2464gjh 8 22 poliomyelitis poliomyelitis NN cord-327444-y2464gjh 8 23 as as IN cord-327444-y2464gjh 8 24 an an DT cord-327444-y2464gjh 8 25 epidemic epidemic NN cord-327444-y2464gjh 8 26 infection infection NN cord-327444-y2464gjh 8 27 and and CC cord-327444-y2464gjh 8 28 , , , cord-327444-y2464gjh 8 29 subsequently subsequently RB cord-327444-y2464gjh 8 30 , , , cord-327444-y2464gjh 8 31 with with IN cord-327444-y2464gjh 8 32 the the DT cord-327444-y2464gjh 8 33 realization realization NN cord-327444-y2464gjh 8 34 that that IN cord-327444-y2464gjh 8 35 similar similar JJ cord-327444-y2464gjh 8 36 meningeal meningeal JJ cord-327444-y2464gjh 8 37 inflammation inflammation NN cord-327444-y2464gjh 8 38 and and CC cord-327444-y2464gjh 8 39 cerebrospinal cerebrospinal NN cord-327444-y2464gjh 8 40 fluid fluid NN cord-327444-y2464gjh 8 41 ( ( -LRB- cord-327444-y2464gjh 8 42 CSF CSF NNP cord-327444-y2464gjh 8 43 ) ) -RRB- cord-327444-y2464gjh 8 44 pleocytosis pleocytosis NNP cord-327444-y2464gjh 8 45 occurred occur VBD cord-327444-y2464gjh 8 46 in in IN cord-327444-y2464gjh 8 47 as as RB cord-327444-y2464gjh 8 48 many many JJ cord-327444-y2464gjh 8 49 as as IN cord-327444-y2464gjh 8 50 60 60 CD cord-327444-y2464gjh 8 51 % % NN cord-327444-y2464gjh 8 52 of of IN cord-327444-y2464gjh 8 53 patients patient NNS cord-327444-y2464gjh 8 54 with with IN cord-327444-y2464gjh 8 55 mumps mumps NNP cord-327444-y2464gjh 8 56 parotitis parotitis NNP cord-327444-y2464gjh 8 57 . . . cord-327444-y2464gjh 9 1 That that DT cord-327444-y2464gjh 9 2 meningitis meningitis NN cord-327444-y2464gjh 9 3 could could MD cord-327444-y2464gjh 9 4 be be VB cord-327444-y2464gjh 9 5 caused cause VBN cord-327444-y2464gjh 9 6 by by IN cord-327444-y2464gjh 9 7 other other JJ cord-327444-y2464gjh 9 8 ' ' `` cord-327444-y2464gjh 9 9 filterable filterable JJ cord-327444-y2464gjh 9 10 agents agent NNS cord-327444-y2464gjh 9 11 ' ' POS cord-327444-y2464gjh 9 12 ( ( -LRB- cord-327444-y2464gjh 9 13 i.e. i.e. FW cord-327444-y2464gjh 9 14 , , , cord-327444-y2464gjh 9 15 viruses virus NNS cord-327444-y2464gjh 9 16 ) ) -RRB- cord-327444-y2464gjh 9 17 was be VBD cord-327444-y2464gjh 9 18 demonstrated demonstrate VBN cord-327444-y2464gjh 9 19 by by IN cord-327444-y2464gjh 9 20 Rivers Rivers NNPS cord-327444-y2464gjh 9 21 and and CC cord-327444-y2464gjh 9 22 Scot Scot NNP cord-327444-y2464gjh 9 23 , , , cord-327444-y2464gjh 9 24 who who WP cord-327444-y2464gjh 9 25 in in IN cord-327444-y2464gjh 9 26 1935 1935 CD cord-327444-y2464gjh 9 27 recovered recover VBN cord-327444-y2464gjh 9 28 lymphocytic lymphocytic JJ cord-327444-y2464gjh 9 29 choriomeningitis choriomeningitis NNP cord-327444-y2464gjh 9 30 virus virus NN cord-327444-y2464gjh 9 31 ( ( -LRB- cord-327444-y2464gjh 9 32 LCMV LCMV NNP cord-327444-y2464gjh 9 33 ) ) -RRB- cord-327444-y2464gjh 9 34 from from IN cord-327444-y2464gjh 9 35 the the DT cord-327444-y2464gjh 9 36 CSF CSF NNP cord-327444-y2464gjh 9 37 of of IN cord-327444-y2464gjh 9 38 an an DT cord-327444-y2464gjh 9 39 affected affected JJ cord-327444-y2464gjh 9 40 patient patient NN cord-327444-y2464gjh 9 41 . . . cord-327444-y2464gjh 10 1 It -PRON- PRP cord-327444-y2464gjh 10 2 is be VBZ cord-327444-y2464gjh 10 3 now now RB cord-327444-y2464gjh 10 4 known know VBN cord-327444-y2464gjh 10 5 that that IN cord-327444-y2464gjh 10 6 a a DT cord-327444-y2464gjh 10 7 wide wide JJ cord-327444-y2464gjh 10 8 and and CC cord-327444-y2464gjh 10 9 constantly constantly RB cord-327444-y2464gjh 10 10 changing change VBG cord-327444-y2464gjh 10 11 variety variety NN cord-327444-y2464gjh 10 12 of of IN cord-327444-y2464gjh 10 13 viruses virus NNS cord-327444-y2464gjh 10 14 may may MD cord-327444-y2464gjh 10 15 invade invade VB cord-327444-y2464gjh 10 16 the the DT cord-327444-y2464gjh 10 17 CNS CNS NNP cord-327444-y2464gjh 10 18 to to TO cord-327444-y2464gjh 10 19 produce produce VB cord-327444-y2464gjh 10 20 meningitis meningitis NN cord-327444-y2464gjh 10 21 or or CC cord-327444-y2464gjh 10 22 encephalitis encephalitis NN cord-327444-y2464gjh 10 23 . . . cord-327444-y2464gjh 11 1 Viral viral JJ cord-327444-y2464gjh 11 2 meningitis meningitis NN cord-327444-y2464gjh 11 3 is be VBZ cord-327444-y2464gjh 11 4 important important JJ cord-327444-y2464gjh 11 5 in in IN cord-327444-y2464gjh 11 6 three three CD cord-327444-y2464gjh 11 7 respects respect NNS cord-327444-y2464gjh 11 8 . . . cord-327444-y2464gjh 12 1 First first RB cord-327444-y2464gjh 12 2 , , , cord-327444-y2464gjh 12 3 viral viral JJ cord-327444-y2464gjh 12 4 meningitis meningitis NN cord-327444-y2464gjh 12 5 must must MD cord-327444-y2464gjh 12 6 be be VB cord-327444-y2464gjh 12 7 differentiated differentiate VBN cord-327444-y2464gjh 12 8 from from IN cord-327444-y2464gjh 12 9 the the DT cord-327444-y2464gjh 12 10 much much RB cord-327444-y2464gjh 12 11 more more RBR cord-327444-y2464gjh 12 12 dangerous dangerous JJ cord-327444-y2464gjh 12 13 condition condition NN cord-327444-y2464gjh 12 14 , , , cord-327444-y2464gjh 12 15 bacterial bacterial JJ cord-327444-y2464gjh 12 16 meningitis meningitis NN cord-327444-y2464gjh 12 17 : : : cord-327444-y2464gjh 12 18 Until until IN cord-327444-y2464gjh 12 19 this this DT cord-327444-y2464gjh 12 20 is be VBZ cord-327444-y2464gjh 12 21 accomplished accomplish VBN cord-327444-y2464gjh 12 22 , , , cord-327444-y2464gjh 12 23 patients patient NNS cord-327444-y2464gjh 12 24 presenting present VBG cord-327444-y2464gjh 12 25 with with IN cord-327444-y2464gjh 12 26 signs sign NNS cord-327444-y2464gjh 12 27 and and CC cord-327444-y2464gjh 12 28 symptoms symptom NNS cord-327444-y2464gjh 12 29 of of IN cord-327444-y2464gjh 12 30 meningitis meningitis NN cord-327444-y2464gjh 12 31 must must MD cord-327444-y2464gjh 12 32 be be VB cord-327444-y2464gjh 12 33 considered consider VBN cord-327444-y2464gjh 12 34 medical medical JJ cord-327444-y2464gjh 12 35 emergencies emergency NNS cord-327444-y2464gjh 12 36 , , , cord-327444-y2464gjh 12 37 and and CC cord-327444-y2464gjh 12 38 antibiotic antibiotic JJ cord-327444-y2464gjh 12 39 treatment treatment NN cord-327444-y2464gjh 12 40 for for IN cord-327444-y2464gjh 12 41 presumptive presumptive JJ cord-327444-y2464gjh 12 42 bacterial bacterial JJ cord-327444-y2464gjh 12 43 meningitis meningitis NN cord-327444-y2464gjh 12 44 must must MD cord-327444-y2464gjh 12 45 be be VB cord-327444-y2464gjh 12 46 instituted institute VBN cord-327444-y2464gjh 12 47 . . . cord-327444-y2464gjh 13 1 Second second JJ cord-327444-y2464gjh 13 2 , , , cord-327444-y2464gjh 13 3 viral viral JJ cord-327444-y2464gjh 13 4 meningitis meningitis NN cord-327444-y2464gjh 13 5 , , , cord-327444-y2464gjh 13 6 although although IN cord-327444-y2464gjh 13 7 rarely rarely RB cord-327444-y2464gjh 13 8 fatal fatal JJ cord-327444-y2464gjh 13 9 , , , cord-327444-y2464gjh 13 10 may may MD cord-327444-y2464gjh 13 11 produce produce VB cord-327444-y2464gjh 13 12 clinical clinical JJ cord-327444-y2464gjh 13 13 impairment impairment NN cord-327444-y2464gjh 13 14 that that WDT cord-327444-y2464gjh 13 15 can can MD cord-327444-y2464gjh 13 16 persist persist VB cord-327444-y2464gjh 13 17 for for IN cord-327444-y2464gjh 13 18 weeks week NNS cord-327444-y2464gjh 13 19 to to IN cord-327444-y2464gjh 13 20 months month NNS cord-327444-y2464gjh 13 21 , , , cord-327444-y2464gjh 13 22 especially especially RB cord-327444-y2464gjh 13 23 in in IN cord-327444-y2464gjh 13 24 the the DT cord-327444-y2464gjh 13 25 immunosuppressed immunosuppressed JJ cord-327444-y2464gjh 13 26 patient patient NN cord-327444-y2464gjh 13 27 . . . cord-327444-y2464gjh 14 1 Finally finally RB cord-327444-y2464gjh 14 2 , , , cord-327444-y2464gjh 14 3 ' ' `` cord-327444-y2464gjh 14 4 lymphocytic lymphocytic JJ cord-327444-y2464gjh 14 5 ' ' '' cord-327444-y2464gjh 14 6 or or CC cord-327444-y2464gjh 14 7 ' ' `` cord-327444-y2464gjh 14 8 aseptic aseptic JJ cord-327444-y2464gjh 14 9 ' ' '' cord-327444-y2464gjh 14 10 meningitis meningitis NN cord-327444-y2464gjh 14 11 may may MD cord-327444-y2464gjh 14 12 be be VB cord-327444-y2464gjh 14 13 caused cause VBN cord-327444-y2464gjh 14 14 by by IN cord-327444-y2464gjh 14 15 agents agent NNS cord-327444-y2464gjh 14 16 other other JJ cord-327444-y2464gjh 14 17 than than IN cord-327444-y2464gjh 14 18 viruses virus NNS cord-327444-y2464gjh 14 19 , , , cord-327444-y2464gjh 14 20 and and CC cord-327444-y2464gjh 14 21 the the DT cord-327444-y2464gjh 14 22 possibility possibility NN cord-327444-y2464gjh 14 23 of of IN cord-327444-y2464gjh 14 24 other other JJ cord-327444-y2464gjh 14 25 , , , cord-327444-y2464gjh 14 26 more more RBR cord-327444-y2464gjh 14 27 readily readily RB cord-327444-y2464gjh 14 28 treated treat VBN cord-327444-y2464gjh 14 29 ( ( -LRB- cord-327444-y2464gjh 14 30 and and CC cord-327444-y2464gjh 14 31 sometimes sometimes RB cord-327444-y2464gjh 14 32 more more RBR cord-327444-y2464gjh 14 33 dangerous dangerous JJ cord-327444-y2464gjh 14 34 ) ) -RRB- cord-327444-y2464gjh 14 35 conditions condition NNS cord-327444-y2464gjh 14 36 must must MD cord-327444-y2464gjh 14 37 be be VB cord-327444-y2464gjh 14 38 kept keep VBN cord-327444-y2464gjh 14 39 in in IN cord-327444-y2464gjh 14 40 mind mind NN cord-327444-y2464gjh 14 41 when when WRB cord-327444-y2464gjh 14 42 diagnosing diagnose VBG cord-327444-y2464gjh 14 43 a a DT cord-327444-y2464gjh 14 44 patient patient NN cord-327444-y2464gjh 14 45 with with IN cord-327444-y2464gjh 14 46 presumed presume VBN cord-327444-y2464gjh 14 47 viral viral JJ cord-327444-y2464gjh 14 48 meningitis meningitis NN cord-327444-y2464gjh 14 49 . . . cord-327444-y2464gjh 15 1 Before before IN cord-327444-y2464gjh 15 2 meningitis meningitis NN cord-327444-y2464gjh 15 3 can can MD cord-327444-y2464gjh 15 4 occur occur VB cord-327444-y2464gjh 15 5 , , , cord-327444-y2464gjh 15 6 the the DT cord-327444-y2464gjh 15 7 causative causative JJ cord-327444-y2464gjh 15 8 agent agent NN cord-327444-y2464gjh 15 9 must must MD cord-327444-y2464gjh 15 10 first first RB cord-327444-y2464gjh 15 11 penetrate penetrate VB cord-327444-y2464gjh 15 12 the the DT cord-327444-y2464gjh 15 13 body body NN cord-327444-y2464gjh 15 14 from from IN cord-327444-y2464gjh 15 15 the the DT cord-327444-y2464gjh 15 16 external external JJ cord-327444-y2464gjh 15 17 environment environment NN cord-327444-y2464gjh 15 18 and and CC cord-327444-y2464gjh 15 19 then then RB cord-327444-y2464gjh 15 20 gain gain VB cord-327444-y2464gjh 15 21 entry entry NN cord-327444-y2464gjh 15 22 to to IN cord-327444-y2464gjh 15 23 the the DT cord-327444-y2464gjh 15 24 CNS CNS NNP cord-327444-y2464gjh 15 25 across across IN cord-327444-y2464gjh 15 26 the the DT cord-327444-y2464gjh 15 27 blood blood NN cord-327444-y2464gjh 15 28 - - HYPH cord-327444-y2464gjh 15 29 brain brain NN cord-327444-y2464gjh 15 30 barrier barrier NN cord-327444-y2464gjh 15 31 ( ( -LRB- cord-327444-y2464gjh 15 32 BBB BBB NNP cord-327444-y2464gjh 15 33 ) ) -RRB- cord-327444-y2464gjh 15 34 . . . cord-327444-y2464gjh 16 1 Entry entry NN cord-327444-y2464gjh 16 2 of of IN cord-327444-y2464gjh 16 3 the the DT cord-327444-y2464gjh 16 4 virus virus NN cord-327444-y2464gjh 16 5 into into IN cord-327444-y2464gjh 16 6 the the DT cord-327444-y2464gjh 16 7 host host NN cord-327444-y2464gjh 16 8 may may MD cord-327444-y2464gjh 16 9 occur occur VB cord-327444-y2464gjh 16 10 by by IN cord-327444-y2464gjh 16 11 gastrointestinal gastrointestinal JJ cord-327444-y2464gjh 16 12 inoculation inoculation NN cord-327444-y2464gjh 16 13 ( ( -LRB- cord-327444-y2464gjh 16 14 as as IN cord-327444-y2464gjh 16 15 is be VBZ cord-327444-y2464gjh 16 16 the the DT cord-327444-y2464gjh 16 17 case case NN cord-327444-y2464gjh 16 18 with with IN cord-327444-y2464gjh 16 19 the the DT cord-327444-y2464gjh 16 20 enteroviruses enteroviruses NNP cord-327444-y2464gjh 16 21 ) ) -RRB- cord-327444-y2464gjh 16 22 , , , cord-327444-y2464gjh 16 23 cutaneous cutaneous JJ cord-327444-y2464gjh 16 24 inoculation inoculation NN cord-327444-y2464gjh 16 25 ( ( -LRB- cord-327444-y2464gjh 16 26 as as IN cord-327444-y2464gjh 16 27 occurs occur VBZ cord-327444-y2464gjh 16 28 with with IN cord-327444-y2464gjh 16 29 the the DT cord-327444-y2464gjh 16 30 arthropod arthropod NN cord-327444-y2464gjh 16 31 - - HYPH cord-327444-y2464gjh 16 32 borne bear VBN cord-327444-y2464gjh 16 33 agents agent NNS cord-327444-y2464gjh 16 34 ) ) -RRB- cord-327444-y2464gjh 16 35 , , , cord-327444-y2464gjh 16 36 the the DT cord-327444-y2464gjh 16 37 respiratory respiratory JJ cord-327444-y2464gjh 16 38 route route NN cord-327444-y2464gjh 16 39 ( ( -LRB- cord-327444-y2464gjh 16 40 as as IN cord-327444-y2464gjh 16 41 is be VBZ cord-327444-y2464gjh 16 42 the the DT cord-327444-y2464gjh 16 43 case case NN cord-327444-y2464gjh 16 44 with with IN cord-327444-y2464gjh 16 45 mumps mumps NN cord-327444-y2464gjh 16 46 ) ) -RRB- cord-327444-y2464gjh 16 47 , , , cord-327444-y2464gjh 16 48 or or CC cord-327444-y2464gjh 16 49 transmucosal transmucosal NN cord-327444-y2464gjh 16 50 penetration penetration NN cord-327444-y2464gjh 16 51 or or CC cord-327444-y2464gjh 16 52 intravenous intravenous JJ cord-327444-y2464gjh 16 53 inoculation inoculation NN cord-327444-y2464gjh 16 54 ( ( -LRB- cord-327444-y2464gjh 16 55 as as IN cord-327444-y2464gjh 16 56 occurs occur VBZ cord-327444-y2464gjh 16 57 with with IN cord-327444-y2464gjh 16 58 human human JJ cord-327444-y2464gjh 16 59 immunodeficiency immunodeficiency NN cord-327444-y2464gjh 16 60 virus virus NN cord-327444-y2464gjh 16 61 ( ( -LRB- cord-327444-y2464gjh 16 62 HIV HIV NNP cord-327444-y2464gjh 16 63 ) ) -RRB- cord-327444-y2464gjh 16 64 ) ) -RRB- cord-327444-y2464gjh 16 65 . . . cord-327444-y2464gjh 17 1 Early early JJ cord-327444-y2464gjh 17 2 workers worker NNS cord-327444-y2464gjh 17 3 in in IN cord-327444-y2464gjh 17 4 the the DT cord-327444-y2464gjh 17 5 field field NN cord-327444-y2464gjh 17 6 of of IN cord-327444-y2464gjh 17 7 viral viral JJ cord-327444-y2464gjh 17 8 CNS CNS NNP cord-327444-y2464gjh 17 9 infections infection NNS cord-327444-y2464gjh 17 10 believed believe VBD cord-327444-y2464gjh 17 11 that that IN cord-327444-y2464gjh 17 12 invasion invasion NN cord-327444-y2464gjh 17 13 of of IN cord-327444-y2464gjh 17 14 the the DT cord-327444-y2464gjh 17 15 nervous nervous JJ cord-327444-y2464gjh 17 16 system system NN cord-327444-y2464gjh 17 17 occurred occur VBD cord-327444-y2464gjh 17 18 by by IN cord-327444-y2464gjh 17 19 the the DT cord-327444-y2464gjh 17 20 spread spread NN cord-327444-y2464gjh 17 21 of of IN cord-327444-y2464gjh 17 22 viruses virus NNS cord-327444-y2464gjh 17 23 along along IN cord-327444-y2464gjh 17 24 neurons neuron NNS cord-327444-y2464gjh 17 25 , , , cord-327444-y2464gjh 17 26 as as IN cord-327444-y2464gjh 17 27 is be VBZ cord-327444-y2464gjh 17 28 the the DT cord-327444-y2464gjh 17 29 case case NN cord-327444-y2464gjh 17 30 with with IN cord-327444-y2464gjh 17 31 rabies rabies NN cord-327444-y2464gjh 17 32 virus virus NN cord-327444-y2464gjh 17 33 . . . cord-327444-y2464gjh 18 1 Currently currently RB cord-327444-y2464gjh 18 2 , , , cord-327444-y2464gjh 18 3 however however RB cord-327444-y2464gjh 18 4 , , , cord-327444-y2464gjh 18 5 it -PRON- PRP cord-327444-y2464gjh 18 6 is be VBZ cord-327444-y2464gjh 18 7 known know VBN cord-327444-y2464gjh 18 8 that that IN cord-327444-y2464gjh 18 9 the the DT cord-327444-y2464gjh 18 10 majority majority NN cord-327444-y2464gjh 18 11 of of IN cord-327444-y2464gjh 18 12 viral viral JJ cord-327444-y2464gjh 18 13 meningitis meningitis NN cord-327444-y2464gjh 18 14 results result NNS cord-327444-y2464gjh 18 15 from from IN cord-327444-y2464gjh 18 16 hematogenous hematogenous JJ cord-327444-y2464gjh 18 17 dissemination dissemination NN cord-327444-y2464gjh 18 18 of of IN cord-327444-y2464gjh 18 19 virus virus NN cord-327444-y2464gjh 18 20 following follow VBG cord-327444-y2464gjh 18 21 symptomatic symptomatic JJ cord-327444-y2464gjh 18 22 or or CC cord-327444-y2464gjh 18 23 clinically clinically RB cord-327444-y2464gjh 18 24 inapparent inapparent JJ cord-327444-y2464gjh 18 25 systemic systemic JJ cord-327444-y2464gjh 18 26 infection infection NN cord-327444-y2464gjh 18 27 . . . cord-327444-y2464gjh 19 1 Penetration penetration NN cord-327444-y2464gjh 19 2 across across IN cord-327444-y2464gjh 19 3 the the DT cord-327444-y2464gjh 19 4 BBB BBB NNP cord-327444-y2464gjh 19 5 may may MD cord-327444-y2464gjh 19 6 occur occur VB cord-327444-y2464gjh 19 7 at at IN cord-327444-y2464gjh 19 8 the the DT cord-327444-y2464gjh 19 9 choroid choroid JJ cord-327444-y2464gjh 19 10 plexus plexus NN cord-327444-y2464gjh 19 11 or or CC cord-327444-y2464gjh 19 12 through through IN cord-327444-y2464gjh 19 13 meningeal meningeal JJ cord-327444-y2464gjh 19 14 capillaries capillary NNS cord-327444-y2464gjh 19 15 . . . cord-327444-y2464gjh 20 1 Exceptions exception NNS cord-327444-y2464gjh 20 2 to to IN cord-327444-y2464gjh 20 3 this this DT cord-327444-y2464gjh 20 4 include include VBP cord-327444-y2464gjh 20 5 meningitis meningitis NN cord-327444-y2464gjh 20 6 following follow VBG cord-327444-y2464gjh 20 7 genital genital JJ cord-327444-y2464gjh 20 8 herpes herpes NN cord-327444-y2464gjh 20 9 simplex simplex NN cord-327444-y2464gjh 20 10 infection infection NN cord-327444-y2464gjh 20 11 , , , cord-327444-y2464gjh 20 12 meningitis meningitis NN cord-327444-y2464gjh 20 13 associated associate VBN cord-327444-y2464gjh 20 14 with with IN cord-327444-y2464gjh 20 15 herpes herpes NNP cord-327444-y2464gjh 20 16 zoster zoster NN cord-327444-y2464gjh 20 17 , , , cord-327444-y2464gjh 20 18 and and CC cord-327444-y2464gjh 21 1 Mollaret Mollaret NNP cord-327444-y2464gjh 21 2 's 's POS cord-327444-y2464gjh 21 3 meningitis meningitis NN cord-327444-y2464gjh 21 4 , , , cord-327444-y2464gjh 21 5 in in IN cord-327444-y2464gjh 21 6 which which WDT cord-327444-y2464gjh 21 7 reactivated reactivate VBD cord-327444-y2464gjh 21 8 infection infection NN cord-327444-y2464gjh 21 9 of of IN cord-327444-y2464gjh 21 10 herpes herpes NNP cord-327444-y2464gjh 21 11 simplex simplex NNP cord-327444-y2464gjh 21 12 virus virus NN cord-327444-y2464gjh 21 13 type type NN cord-327444-y2464gjh 21 14 2 2 CD cord-327444-y2464gjh 21 15 ( ( -LRB- cord-327444-y2464gjh 21 16 HSV-2 HSV-2 NNP cord-327444-y2464gjh 21 17 ) ) -RRB- cord-327444-y2464gjh 21 18 within within IN cord-327444-y2464gjh 21 19 the the DT cord-327444-y2464gjh 21 20 dorsal dorsal JJ cord-327444-y2464gjh 21 21 root root NN cord-327444-y2464gjh 21 22 ganglia ganglion NNS cord-327444-y2464gjh 21 23 leads lead VBZ cord-327444-y2464gjh 21 24 to to IN cord-327444-y2464gjh 21 25 repeated repeat VBN cord-327444-y2464gjh 21 26 episodes episode NNS cord-327444-y2464gjh 21 27 of of IN cord-327444-y2464gjh 21 28 meningitis meningitis NN cord-327444-y2464gjh 21 29 . . . cord-327444-y2464gjh 22 1 Viral viral JJ cord-327444-y2464gjh 22 2 replication replication NN cord-327444-y2464gjh 22 3 in in IN cord-327444-y2464gjh 22 4 the the DT cord-327444-y2464gjh 22 5 meninges meninge NNS cord-327444-y2464gjh 22 6 , , , cord-327444-y2464gjh 22 7 superficial superficial JJ cord-327444-y2464gjh 22 8 brain brain NN cord-327444-y2464gjh 22 9 or or CC cord-327444-y2464gjh 22 10 spinal spinal JJ cord-327444-y2464gjh 22 11 cord cord NN cord-327444-y2464gjh 22 12 parenchyma parenchyma NN cord-327444-y2464gjh 22 13 , , , cord-327444-y2464gjh 22 14 and and CC cord-327444-y2464gjh 23 1 the the DT cord-327444-y2464gjh 23 2 ventricular ventricular JJ cord-327444-y2464gjh 23 3 system system NN cord-327444-y2464gjh 23 4 elicits elicit VBZ cord-327444-y2464gjh 23 5 an an DT cord-327444-y2464gjh 23 6 inflammatory inflammatory JJ cord-327444-y2464gjh 23 7 response response NN cord-327444-y2464gjh 23 8 , , , cord-327444-y2464gjh 23 9 which which WDT cord-327444-y2464gjh 23 10 is be VBZ cord-327444-y2464gjh 23 11 predominantly predominantly RB cord-327444-y2464gjh 23 12 lymphocytic lymphocytic JJ cord-327444-y2464gjh 23 13 . . . cord-327444-y2464gjh 24 1 This this DT cord-327444-y2464gjh 24 2 results result VBZ cord-327444-y2464gjh 24 3 in in IN cord-327444-y2464gjh 24 4 an an DT cord-327444-y2464gjh 24 5 alteration alteration NN cord-327444-y2464gjh 24 6 of of IN cord-327444-y2464gjh 24 7 the the DT cord-327444-y2464gjh 24 8 BBB BBB NNP cord-327444-y2464gjh 24 9 so so IN cord-327444-y2464gjh 24 10 that that IN cord-327444-y2464gjh 24 11 protein protein NN cord-327444-y2464gjh 24 12 levels level NNS cord-327444-y2464gjh 24 13 increase increase VBP cord-327444-y2464gjh 24 14 within within IN cord-327444-y2464gjh 24 15 the the DT cord-327444-y2464gjh 24 16 CSF CSF NNP cord-327444-y2464gjh 24 17 . . . cord-327444-y2464gjh 25 1 Unlike unlike IN cord-327444-y2464gjh 25 2 bacteria bacteria NNS cord-327444-y2464gjh 25 3 or or CC cord-327444-y2464gjh 25 4 fungi fungus NNS cord-327444-y2464gjh 25 5 , , , cord-327444-y2464gjh 25 6 however however RB cord-327444-y2464gjh 25 7 , , , cord-327444-y2464gjh 25 8 viral viral JJ cord-327444-y2464gjh 25 9 replication replication NN cord-327444-y2464gjh 25 10 does do VBZ cord-327444-y2464gjh 25 11 not not RB cord-327444-y2464gjh 25 12 lower lower VB cord-327444-y2464gjh 25 13 glucose glucose NN cord-327444-y2464gjh 25 14 within within IN cord-327444-y2464gjh 25 15 the the DT cord-327444-y2464gjh 25 16 CSF CSF NNP cord-327444-y2464gjh 25 17 , , , cord-327444-y2464gjh 25 18 nor nor CC cord-327444-y2464gjh 25 19 does do VBZ cord-327444-y2464gjh 25 20 it -PRON- PRP cord-327444-y2464gjh 25 21 usually usually RB cord-327444-y2464gjh 25 22 results result VBZ cord-327444-y2464gjh 25 23 in in IN cord-327444-y2464gjh 25 24 altered altered JJ cord-327444-y2464gjh 25 25 transport transport NN cord-327444-y2464gjh 25 26 of of IN cord-327444-y2464gjh 25 27 glucose glucose NN cord-327444-y2464gjh 25 28 across across IN cord-327444-y2464gjh 25 29 the the DT cord-327444-y2464gjh 25 30 BBB BBB NNP cord-327444-y2464gjh 25 31 . . . cord-327444-y2464gjh 26 1 Thus thus RB cord-327444-y2464gjh 26 2 , , , cord-327444-y2464gjh 26 3 in in IN cord-327444-y2464gjh 26 4 contrast contrast NN cord-327444-y2464gjh 26 5 to to IN cord-327444-y2464gjh 26 6 bacterial bacterial JJ cord-327444-y2464gjh 26 7 , , , cord-327444-y2464gjh 26 8 mycobacterial mycobacterial NNP cord-327444-y2464gjh 26 9 , , , cord-327444-y2464gjh 26 10 or or CC cord-327444-y2464gjh 26 11 fungal fungal JJ cord-327444-y2464gjh 26 12 infections infection NNS cord-327444-y2464gjh 26 13 , , , cord-327444-y2464gjh 26 14 CSF csf NN cord-327444-y2464gjh 26 15 glucose glucose NN cord-327444-y2464gjh 26 16 concentrations concentration NNS cord-327444-y2464gjh 26 17 during during IN cord-327444-y2464gjh 26 18 viral viral JJ cord-327444-y2464gjh 26 19 meningitis meningitis NN cord-327444-y2464gjh 26 20 are be VBP cord-327444-y2464gjh 26 21 usually usually RB cord-327444-y2464gjh 26 22 normal normal JJ cord-327444-y2464gjh 26 23 . . . cord-327444-y2464gjh 27 1 Meningitis meningitis NN cord-327444-y2464gjh 27 2 is be VBZ cord-327444-y2464gjh 27 3 the the DT cord-327444-y2464gjh 27 4 most most RBS cord-327444-y2464gjh 27 5 common common JJ cord-327444-y2464gjh 27 6 phenotype phenotype NN cord-327444-y2464gjh 27 7 of of IN cord-327444-y2464gjh 27 8 a a DT cord-327444-y2464gjh 27 9 neuroviral neuroviral JJ cord-327444-y2464gjh 27 10 infection infection NN cord-327444-y2464gjh 27 11 , , , cord-327444-y2464gjh 27 12 and and CC cord-327444-y2464gjh 27 13 it -PRON- PRP cord-327444-y2464gjh 27 14 is be VBZ cord-327444-y2464gjh 27 15 a a DT cord-327444-y2464gjh 27 16 far far RB cord-327444-y2464gjh 27 17 more more RBR cord-327444-y2464gjh 27 18 common common JJ cord-327444-y2464gjh 27 19 condition condition NN cord-327444-y2464gjh 27 20 than than IN cord-327444-y2464gjh 27 21 bacterial bacterial JJ cord-327444-y2464gjh 27 22 or or CC cord-327444-y2464gjh 27 23 fungal fungal JJ cord-327444-y2464gjh 27 24 meningitis meningitis NN cord-327444-y2464gjh 27 25 . . . cord-327444-y2464gjh 28 1 Approximately approximately RB cord-327444-y2464gjh 28 2 75 75 CD cord-327444-y2464gjh 28 3 000 000 CD cord-327444-y2464gjh 28 4 cases case NNS cord-327444-y2464gjh 28 5 of of IN cord-327444-y2464gjh 28 6 lymphocytic lymphocytic JJ cord-327444-y2464gjh 28 7 or or CC cord-327444-y2464gjh 28 8 presumed presume VBN cord-327444-y2464gjh 28 9 viral viral JJ cord-327444-y2464gjh 28 10 meningitis meningitis NN cord-327444-y2464gjh 28 11 occur occur VBP cord-327444-y2464gjh 28 12 each each DT cord-327444-y2464gjh 28 13 year year NN cord-327444-y2464gjh 28 14 in in IN cord-327444-y2464gjh 28 15 the the DT cord-327444-y2464gjh 28 16 United United NNP cord-327444-y2464gjh 28 17 States States NNP cord-327444-y2464gjh 28 18 although although IN cord-327444-y2464gjh 28 19 numbers number NNS cord-327444-y2464gjh 28 20 are be VBP cord-327444-y2464gjh 28 21 difficult difficult JJ cord-327444-y2464gjh 28 22 to to TO cord-327444-y2464gjh 28 23 ascertain ascertain VB cord-327444-y2464gjh 28 24 because because IN cord-327444-y2464gjh 28 25 it -PRON- PRP cord-327444-y2464gjh 28 26 is be VBZ cord-327444-y2464gjh 28 27 not not RB cord-327444-y2464gjh 28 28 a a DT cord-327444-y2464gjh 28 29 reportable reportable JJ cord-327444-y2464gjh 28 30 illness illness NN cord-327444-y2464gjh 28 31 . . . cord-327444-y2464gjh 29 1 CSF CSF NNP cord-327444-y2464gjh 29 2 pleocytosis pleocytosis NNP cord-327444-y2464gjh 29 3 has have VBZ cord-327444-y2464gjh 29 4 also also RB cord-327444-y2464gjh 29 5 been be VBN cord-327444-y2464gjh 29 6 reported report VBN cord-327444-y2464gjh 29 7 in in IN cord-327444-y2464gjh 29 8 individuals individual NNS cord-327444-y2464gjh 29 9 infected infect VBN cord-327444-y2464gjh 29 10 with with IN cord-327444-y2464gjh 29 11 measles measle NNS cord-327444-y2464gjh 29 12 , , , cord-327444-y2464gjh 29 13 mumps mumps NN cord-327444-y2464gjh 29 14 , , , cord-327444-y2464gjh 29 15 and and CC cord-327444-y2464gjh 29 16 HIV HIV NNP cord-327444-y2464gjh 29 17 without without IN cord-327444-y2464gjh 29 18 signs sign NNS cord-327444-y2464gjh 29 19 and and CC cord-327444-y2464gjh 29 20 symptoms symptom NNS cord-327444-y2464gjh 29 21 of of IN cord-327444-y2464gjh 29 22 meningeal meningeal JJ cord-327444-y2464gjh 29 23 irritation irritation NN cord-327444-y2464gjh 29 24 . . . cord-327444-y2464gjh 30 1 Similar similar JJ cord-327444-y2464gjh 30 2 asymptomatic asymptomatic JJ cord-327444-y2464gjh 30 3 CNS CNS NNP cord-327444-y2464gjh 30 4 involvement involvement NN cord-327444-y2464gjh 30 5 probably probably RB cord-327444-y2464gjh 30 6 occurs occur VBZ cord-327444-y2464gjh 30 7 with with IN cord-327444-y2464gjh 30 8 other other JJ cord-327444-y2464gjh 30 9 viruses virus NNS cord-327444-y2464gjh 30 10 as as RB cord-327444-y2464gjh 30 11 well well RB cord-327444-y2464gjh 30 12 . . . cord-327444-y2464gjh 31 1 Although although IN cord-327444-y2464gjh 31 2 viral viral JJ cord-327444-y2464gjh 31 3 meningitis meningitis NN cord-327444-y2464gjh 31 4 affects affect VBZ cord-327444-y2464gjh 31 5 all all DT cord-327444-y2464gjh 31 6 age age NN cord-327444-y2464gjh 31 7 groups group NNS cord-327444-y2464gjh 31 8 , , , cord-327444-y2464gjh 31 9 it -PRON- PRP cord-327444-y2464gjh 31 10 is be VBZ cord-327444-y2464gjh 31 11 predominantly predominantly RB cord-327444-y2464gjh 31 12 a a DT cord-327444-y2464gjh 31 13 disease disease NN cord-327444-y2464gjh 31 14 of of IN cord-327444-y2464gjh 31 15 childhood childhood NN cord-327444-y2464gjh 31 16 . . . cord-327444-y2464gjh 32 1 The the DT cord-327444-y2464gjh 32 2 agents agent NNS cord-327444-y2464gjh 32 3 causing cause VBG cord-327444-y2464gjh 32 4 viral viral JJ cord-327444-y2464gjh 32 5 meningitis meningitis NN cord-327444-y2464gjh 32 6 can can MD cord-327444-y2464gjh 32 7 be be VB cord-327444-y2464gjh 32 8 divided divide VBN cord-327444-y2464gjh 32 9 into into IN cord-327444-y2464gjh 32 10 three three CD cord-327444-y2464gjh 32 11 broad broad JJ cord-327444-y2464gjh 32 12 groups group NNS cord-327444-y2464gjh 32 13 : : : cord-327444-y2464gjh 32 14 ( ( -LRB- cord-327444-y2464gjh 32 15 1 1 LS cord-327444-y2464gjh 32 16 ) ) -RRB- cord-327444-y2464gjh 32 17 common common JJ cord-327444-y2464gjh 32 18 agents agent NNS cord-327444-y2464gjh 32 19 of of IN cord-327444-y2464gjh 32 20 viral viral JJ cord-327444-y2464gjh 32 21 meningitis meningitis NN cord-327444-y2464gjh 32 22 , , , cord-327444-y2464gjh 32 23 including include VBG cord-327444-y2464gjh 32 24 the the DT cord-327444-y2464gjh 32 25 enteroviruses enterovirus NNS cord-327444-y2464gjh 32 26 , , , cord-327444-y2464gjh 32 27 arthropod arthropod NN cord-327444-y2464gjh 32 28 - - HYPH cord-327444-y2464gjh 32 29 borne bear VBN cord-327444-y2464gjh 32 30 agents agent NNS cord-327444-y2464gjh 32 31 , , , cord-327444-y2464gjh 32 32 and and CC cord-327444-y2464gjh 32 33 HSV-2 HSV-2 NNPS cord-327444-y2464gjh 32 34 ; ; : cord-327444-y2464gjh 32 35 ( ( -LRB- cord-327444-y2464gjh 32 36 2 2 LS cord-327444-y2464gjh 32 37 ) ) -RRB- cord-327444-y2464gjh 32 38 less less JJR cord-327444-y2464gjh 32 39 common common JJ cord-327444-y2464gjh 32 40 agents agent NNS cord-327444-y2464gjh 32 41 , , , cord-327444-y2464gjh 32 42 including include VBG cord-327444-y2464gjh 32 43 HIV HIV NNP cord-327444-y2464gjh 32 44 , , , cord-327444-y2464gjh 32 45 mumps mumps NN cord-327444-y2464gjh 32 46 , , , cord-327444-y2464gjh 32 47 LCMV LCMV NNP cord-327444-y2464gjh 32 48 , , , cord-327444-y2464gjh 32 49 human human JJ cord-327444-y2464gjh 32 50 herpesvirus herpesvirus NN cord-327444-y2464gjh 32 51 6 6 CD cord-327444-y2464gjh 32 52 ( ( -LRB- cord-327444-y2464gjh 32 53 HHV-6 HHV-6 NNP cord-327444-y2464gjh 32 54 ) ) -RRB- cord-327444-y2464gjh 32 55 , , , cord-327444-y2464gjh 32 56 and and CC cord-327444-y2464gjh 32 57 parvovirus parvovirus NN cord-327444-y2464gjh 32 58 B19 B19 NNP cord-327444-y2464gjh 32 59 ; ; : cord-327444-y2464gjh 32 60 and and CC cord-327444-y2464gjh 32 61 ( ( -LRB- cord-327444-y2464gjh 32 62 3 3 LS cord-327444-y2464gjh 32 63 ) ) -RRB- cord-327444-y2464gjh 32 64 agents agent NNS cord-327444-y2464gjh 32 65 known know VBN cord-327444-y2464gjh 32 66 to to TO cord-327444-y2464gjh 32 67 cause cause VB cord-327444-y2464gjh 32 68 lymphocytic lymphocytic JJ cord-327444-y2464gjh 32 69 meningitis meningitis NN cord-327444-y2464gjh 32 70 only only RB cord-327444-y2464gjh 32 71 in in IN cord-327444-y2464gjh 32 72 rare rare JJ cord-327444-y2464gjh 32 73 cases case NNS cord-327444-y2464gjh 32 74 . . . cord-327444-y2464gjh 33 1 Outside outside IN cord-327444-y2464gjh 33 2 the the DT cord-327444-y2464gjh 33 3 United United NNP cord-327444-y2464gjh 33 4 States States NNP cord-327444-y2464gjh 33 5 , , , cord-327444-y2464gjh 33 6 new new JJ cord-327444-y2464gjh 33 7 viruses virus NNS cord-327444-y2464gjh 33 8 like like IN cord-327444-y2464gjh 33 9 Toscana Toscana NNP cord-327444-y2464gjh 33 10 virus virus NN cord-327444-y2464gjh 33 11 and and CC cord-327444-y2464gjh 33 12 Chikungunya Chikungunya NNP cord-327444-y2464gjh 33 13 virus virus NN cord-327444-y2464gjh 33 14 are be VBP cord-327444-y2464gjh 33 15 emerging emerge VBG cord-327444-y2464gjh 33 16 causes cause NNS cord-327444-y2464gjh 33 17 of of IN cord-327444-y2464gjh 33 18 viral viral JJ cord-327444-y2464gjh 33 19 meningitis meningitis NN cord-327444-y2464gjh 33 20 . . . cord-327444-y2464gjh 34 1 In in IN cord-327444-y2464gjh 34 2 addition addition NN cord-327444-y2464gjh 34 3 , , , cord-327444-y2464gjh 34 4 a a DT cord-327444-y2464gjh 34 5 number number NN cord-327444-y2464gjh 34 6 of of IN cord-327444-y2464gjh 34 7 nonviral nonviral JJ cord-327444-y2464gjh 34 8 , , , cord-327444-y2464gjh 34 9 and and CC cord-327444-y2464gjh 34 10 occasionally occasionally RB cord-327444-y2464gjh 34 11 noninfectious noninfectious JJ cord-327444-y2464gjh 34 12 , , , cord-327444-y2464gjh 34 13 conditions condition NNS cord-327444-y2464gjh 34 14 may may MD cord-327444-y2464gjh 34 15 cause cause VB cord-327444-y2464gjh 34 16 a a DT cord-327444-y2464gjh 34 17 clinical clinical JJ cord-327444-y2464gjh 34 18 syndrome syndrome NN cord-327444-y2464gjh 34 19 indistinguishable indistinguishable JJ cord-327444-y2464gjh 34 20 from from IN cord-327444-y2464gjh 34 21 viral viral JJ cord-327444-y2464gjh 34 22 meningitis meningitis NN cord-327444-y2464gjh 34 23 . . . cord-327444-y2464gjh 35 1 Enteroviruses Enteroviruses NNP cord-327444-y2464gjh 35 2 account account VBP cord-327444-y2464gjh 35 3 for for IN cord-327444-y2464gjh 35 4 approximately approximately RB cord-327444-y2464gjh 35 5 90 90 CD cord-327444-y2464gjh 35 6 % % NN cord-327444-y2464gjh 35 7 of of IN cord-327444-y2464gjh 35 8 cases case NNS cord-327444-y2464gjh 35 9 in in IN cord-327444-y2464gjh 35 10 which which WDT cord-327444-y2464gjh 35 11 the the DT cord-327444-y2464gjh 35 12 causative causative JJ cord-327444-y2464gjh 35 13 virus virus NN cord-327444-y2464gjh 35 14 is be VBZ cord-327444-y2464gjh 35 15 identified identify VBN cord-327444-y2464gjh 35 16 ( ( -LRB- cord-327444-y2464gjh 35 17 Table table NN cord-327444-y2464gjh 35 18 1 1 CD cord-327444-y2464gjh 35 19 ) ) -RRB- cord-327444-y2464gjh 35 20 . . . cord-327444-y2464gjh 36 1 Enteroviruses enterovirus NNS cord-327444-y2464gjh 36 2 are be VBP cord-327444-y2464gjh 36 3 small small JJ cord-327444-y2464gjh 36 4 , , , cord-327444-y2464gjh 36 5 nonenveloped nonenveloped JJ cord-327444-y2464gjh 36 6 single single RB cord-327444-y2464gjh 36 7 - - HYPH cord-327444-y2464gjh 36 8 stranded strand VBN cord-327444-y2464gjh 36 9 positive positive JJ cord-327444-y2464gjh 36 10 - - HYPH cord-327444-y2464gjh 36 11 sense sense NN cord-327444-y2464gjh 36 12 ribonucleic ribonucleic NN cord-327444-y2464gjh 36 13 acid acid NN cord-327444-y2464gjh 36 14 ( ( -LRB- cord-327444-y2464gjh 36 15 RNA RNA NNP cord-327444-y2464gjh 36 16 ) ) -RRB- cord-327444-y2464gjh 36 17 viruses virus NNS cord-327444-y2464gjh 36 18 within within IN cord-327444-y2464gjh 36 19 the the DT cord-327444-y2464gjh 36 20 family family NN cord-327444-y2464gjh 36 21 Picornaviridae Picornaviridae NNP cord-327444-y2464gjh 36 22 . . . cord-327444-y2464gjh 37 1 Although although IN cord-327444-y2464gjh 37 2 more more JJR cord-327444-y2464gjh 37 3 than than IN cord-327444-y2464gjh 37 4 70 70 CD cord-327444-y2464gjh 37 5 serotypes serotype NNS cord-327444-y2464gjh 37 6 of of IN cord-327444-y2464gjh 37 7 enteroviruses enterovirus NNS cord-327444-y2464gjh 37 8 have have VBP cord-327444-y2464gjh 37 9 been be VBN cord-327444-y2464gjh 37 10 identified identify VBN cord-327444-y2464gjh 37 11 , , , cord-327444-y2464gjh 37 12 coxsackievirus coxsackievirus NNP cord-327444-y2464gjh 37 13 A9 A9 NNP cord-327444-y2464gjh 37 14 and and CC cord-327444-y2464gjh 37 15 echoviruses echoviruses NNP cord-327444-y2464gjh 37 16 E7 E7 NNP cord-327444-y2464gjh 37 17 , , , cord-327444-y2464gjh 37 18 E9 E9 NNP cord-327444-y2464gjh 37 19 , , , cord-327444-y2464gjh 37 20 E11 E11 NNP cord-327444-y2464gjh 37 21 , , , cord-327444-y2464gjh 37 22 E19 E19 NNP cord-327444-y2464gjh 37 23 , , , cord-327444-y2464gjh 37 24 and and CC cord-327444-y2464gjh 37 25 E30 E30 NNP cord-327444-y2464gjh 37 26 account account NN cord-327444-y2464gjh 37 27 for for IN cord-327444-y2464gjh 37 28 70 70 CD cord-327444-y2464gjh 37 29 % % NN cord-327444-y2464gjh 37 30 of of IN cord-327444-y2464gjh 37 31 all all DT cord-327444-y2464gjh 37 32 cultured cultured JJ cord-327444-y2464gjh 37 33 isolates isolate NNS cord-327444-y2464gjh 37 34 of of IN cord-327444-y2464gjh 37 35 CSF CSF NNP cord-327444-y2464gjh 37 36 . . . cord-327444-y2464gjh 38 1 Poliovirus Poliovirus NNP cord-327444-y2464gjh 38 2 , , , cord-327444-y2464gjh 38 3 although although IN cord-327444-y2464gjh 38 4 no no RB cord-327444-y2464gjh 38 5 longer long RBR cord-327444-y2464gjh 38 6 found find VBN cord-327444-y2464gjh 38 7 in in IN cord-327444-y2464gjh 38 8 developed develop VBN cord-327444-y2464gjh 38 9 countries country NNS cord-327444-y2464gjh 38 10 due due JJ cord-327444-y2464gjh 38 11 to to IN cord-327444-y2464gjh 38 12 mass mass JJ cord-327444-y2464gjh 38 13 vaccination vaccination NN cord-327444-y2464gjh 38 14 efforts effort NNS cord-327444-y2464gjh 38 15 , , , cord-327444-y2464gjh 38 16 still still RB cord-327444-y2464gjh 38 17 causes cause VBZ cord-327444-y2464gjh 38 18 aseptic aseptic JJ cord-327444-y2464gjh 38 19 meningitis meningitis NN cord-327444-y2464gjh 38 20 and and CC cord-327444-y2464gjh 38 21 paralytic paralytic JJ cord-327444-y2464gjh 38 22 disease disease NN cord-327444-y2464gjh 38 23 in in IN cord-327444-y2464gjh 38 24 countries country NNS cord-327444-y2464gjh 38 25 like like IN cord-327444-y2464gjh 38 26 Pakistan Pakistan NNP cord-327444-y2464gjh 38 27 , , , cord-327444-y2464gjh 38 28 Afghanistan Afghanistan NNP cord-327444-y2464gjh 38 29 , , , cord-327444-y2464gjh 38 30 and and CC cord-327444-y2464gjh 38 31 Nigeria Nigeria NNP cord-327444-y2464gjh 38 32 where where WRB cord-327444-y2464gjh 38 33 cultural cultural JJ cord-327444-y2464gjh 38 34 taboos taboo NNS cord-327444-y2464gjh 38 35 , , , cord-327444-y2464gjh 38 36 lack lack NN cord-327444-y2464gjh 38 37 of of IN cord-327444-y2464gjh 38 38 development development NN cord-327444-y2464gjh 38 39 , , , cord-327444-y2464gjh 38 40 and and CC cord-327444-y2464gjh 38 41 war war NN cord-327444-y2464gjh 38 42 have have VBP cord-327444-y2464gjh 38 43 stymied stymie VBN cord-327444-y2464gjh 38 44 vaccination vaccination NN cord-327444-y2464gjh 38 45 efforts effort NNS cord-327444-y2464gjh 38 46 . . . cord-327444-y2464gjh 39 1 Enteroviruses enterovirus NNS cord-327444-y2464gjh 39 2 are be VBP cord-327444-y2464gjh 39 3 disseminated disseminate VBN cord-327444-y2464gjh 39 4 by by IN cord-327444-y2464gjh 39 5 fecal fecal JJ cord-327444-y2464gjh 39 6 - - HYPH cord-327444-y2464gjh 39 7 oral oral JJ cord-327444-y2464gjh 39 8 spread spread NN cord-327444-y2464gjh 39 9 , , , cord-327444-y2464gjh 39 10 and and CC cord-327444-y2464gjh 39 11 cases case NNS cord-327444-y2464gjh 39 12 in in IN cord-327444-y2464gjh 39 13 developed develop VBN cord-327444-y2464gjh 39 14 countries country NNS cord-327444-y2464gjh 39 15 cluster cluster NN cord-327444-y2464gjh 39 16 during during IN cord-327444-y2464gjh 39 17 summer summer NN cord-327444-y2464gjh 39 18 months month NNS cord-327444-y2464gjh 39 19 when when WRB cord-327444-y2464gjh 39 20 sanitation sanitation NN cord-327444-y2464gjh 39 21 tends tend VBZ cord-327444-y2464gjh 39 22 to to TO cord-327444-y2464gjh 39 23 be be VB cord-327444-y2464gjh 39 24 most most RBS cord-327444-y2464gjh 39 25 relaxed relaxed JJ cord-327444-y2464gjh 39 26 . . . cord-327444-y2464gjh 40 1 Recent recent JJ cord-327444-y2464gjh 40 2 studies study NNS cord-327444-y2464gjh 40 3 employing employ VBG cord-327444-y2464gjh 40 4 polymerase polymerase NN cord-327444-y2464gjh 40 5 chain chain NN cord-327444-y2464gjh 40 6 reaction reaction NN cord-327444-y2464gjh 40 7 ( ( -LRB- cord-327444-y2464gjh 40 8 PCR PCR NNP cord-327444-y2464gjh 40 9 ) ) -RRB- cord-327444-y2464gjh 40 10 methods method NNS cord-327444-y2464gjh 40 11 , , , cord-327444-y2464gjh 40 12 however however RB cord-327444-y2464gjh 40 13 , , , cord-327444-y2464gjh 40 14 confirm confirm VBP cord-327444-y2464gjh 40 15 older old JJR cord-327444-y2464gjh 40 16 observations observation NNS cord-327444-y2464gjh 40 17 that that IN cord-327444-y2464gjh 40 18 enteroviral enteroviral JJ cord-327444-y2464gjh 40 19 CNS cns JJ cord-327444-y2464gjh 40 20 infections infection NNS cord-327444-y2464gjh 40 21 occur occur VBP cord-327444-y2464gjh 40 22 throughout throughout IN cord-327444-y2464gjh 40 23 the the DT cord-327444-y2464gjh 40 24 year year NN cord-327444-y2464gjh 40 25 , , , cord-327444-y2464gjh 40 26 and and CC cord-327444-y2464gjh 40 27 many many JJ cord-327444-y2464gjh 40 28 previously previously RB cord-327444-y2464gjh 40 29 undiagnosed undiagnosed JJ cord-327444-y2464gjh 40 30 cases case NNS cord-327444-y2464gjh 40 31 of of IN cord-327444-y2464gjh 40 32 viral viral JJ cord-327444-y2464gjh 40 33 meningitis meningitis NN cord-327444-y2464gjh 40 34 occurring occur VBG cord-327444-y2464gjh 40 35 during during IN cord-327444-y2464gjh 40 36 winter winter NN cord-327444-y2464gjh 40 37 months month NNS cord-327444-y2464gjh 40 38 are be VBP cord-327444-y2464gjh 40 39 also also RB cord-327444-y2464gjh 40 40 caused cause VBN cord-327444-y2464gjh 40 41 by by IN cord-327444-y2464gjh 40 42 these these DT cord-327444-y2464gjh 40 43 viruses virus NNS cord-327444-y2464gjh 40 44 . . . cord-327444-y2464gjh 41 1 Coxsackieviruses Coxsackieviruses NNP cord-327444-y2464gjh 41 2 , , , cord-327444-y2464gjh 41 3 echoviruses echovirus NNS cord-327444-y2464gjh 41 4 , , , cord-327444-y2464gjh 41 5 and and CC cord-327444-y2464gjh 41 6 enteroviruses enteroviruses NNP cord-327444-y2464gjh 41 7 may may MD cord-327444-y2464gjh 41 8 cause cause VB cord-327444-y2464gjh 41 9 encephalitis encephalitis RB cord-327444-y2464gjh 41 10 and and CC cord-327444-y2464gjh 41 11 , , , cord-327444-y2464gjh 41 12 rarely rarely RB cord-327444-y2464gjh 41 13 , , , cord-327444-y2464gjh 41 14 paralytic paralytic JJ cord-327444-y2464gjh 41 15 disease disease NN cord-327444-y2464gjh 41 16 , , , cord-327444-y2464gjh 41 17 especially especially RB cord-327444-y2464gjh 41 18 in in IN cord-327444-y2464gjh 41 19 neonates neonate NNS cord-327444-y2464gjh 41 20 and and CC cord-327444-y2464gjh 41 21 the the DT cord-327444-y2464gjh 41 22 immunosuppressed immunosuppressed JJ cord-327444-y2464gjh 41 23 . . . cord-327444-y2464gjh 42 1 This this DT cord-327444-y2464gjh 42 2 was be VBD cord-327444-y2464gjh 42 3 vividly vividly RB cord-327444-y2464gjh 42 4 illustrated illustrate VBN cord-327444-y2464gjh 42 5 in in IN cord-327444-y2464gjh 42 6 2012 2012 CD cord-327444-y2464gjh 42 7 with with IN cord-327444-y2464gjh 42 8 the the DT cord-327444-y2464gjh 42 9 enterovirus enterovirus NN cord-327444-y2464gjh 42 10 71 71 CD cord-327444-y2464gjh 42 11 outbreak outbreak NN cord-327444-y2464gjh 42 12 in in IN cord-327444-y2464gjh 42 13 Cambodia Cambodia NNP cord-327444-y2464gjh 42 14 that that WDT cord-327444-y2464gjh 42 15 killed kill VBD cord-327444-y2464gjh 42 16 more more JJR cord-327444-y2464gjh 42 17 than than IN cord-327444-y2464gjh 42 18 60 60 CD cord-327444-y2464gjh 42 19 children child NNS cord-327444-y2464gjh 42 20 . . . cord-327444-y2464gjh 43 1 Arthropod arthropod NN cord-327444-y2464gjh 43 2 - - HYPH cord-327444-y2464gjh 43 3 borne bear VBN cord-327444-y2464gjh 43 4 viruses virus NNS cord-327444-y2464gjh 43 5 , , , cord-327444-y2464gjh 43 6 or or CC cord-327444-y2464gjh 43 7 arboviruses arbovirus NNS cord-327444-y2464gjh 43 8 , , , cord-327444-y2464gjh 43 9 include include VBP cord-327444-y2464gjh 43 10 agents agent NNS cord-327444-y2464gjh 43 11 from from IN cord-327444-y2464gjh 43 12 several several JJ cord-327444-y2464gjh 43 13 different different JJ cord-327444-y2464gjh 43 14 families family NNS cord-327444-y2464gjh 43 15 whose whose WP$ cord-327444-y2464gjh 43 16 hosts host NNS cord-327444-y2464gjh 43 17 are be VBP cord-327444-y2464gjh 43 18 typically typically RB cord-327444-y2464gjh 43 19 small small JJ cord-327444-y2464gjh 43 20 mammals mammal NNS cord-327444-y2464gjh 43 21 or or CC cord-327444-y2464gjh 43 22 birds bird NNS cord-327444-y2464gjh 43 23 . . . cord-327444-y2464gjh 44 1 They -PRON- PRP cord-327444-y2464gjh 44 2 spread spread VBD cord-327444-y2464gjh 44 3 to to IN cord-327444-y2464gjh 44 4 humans human NNS cord-327444-y2464gjh 44 5 through through IN cord-327444-y2464gjh 44 6 the the DT cord-327444-y2464gjh 44 7 bite bite NN cord-327444-y2464gjh 44 8 of of IN cord-327444-y2464gjh 44 9 an an DT cord-327444-y2464gjh 44 10 arthropod arthropod JJ cord-327444-y2464gjh 44 11 vector vector NN cord-327444-y2464gjh 44 12 ( ( -LRB- cord-327444-y2464gjh 44 13 Table table NN cord-327444-y2464gjh 44 14 2 2 CD cord-327444-y2464gjh 44 15 ) ) -RRB- cord-327444-y2464gjh 44 16 . . . cord-327444-y2464gjh 45 1 Although although IN cord-327444-y2464gjh 45 2 these these DT cord-327444-y2464gjh 45 3 agents agent NNS cord-327444-y2464gjh 45 4 are be VBP cord-327444-y2464gjh 45 5 most most RBS cord-327444-y2464gjh 45 6 commonly commonly RB cord-327444-y2464gjh 45 7 considered consider VBN cord-327444-y2464gjh 45 8 to to TO cord-327444-y2464gjh 45 9 cause cause VB cord-327444-y2464gjh 45 10 encephalitis encephalitis JJ cord-327444-y2464gjh 45 11 , , , cord-327444-y2464gjh 45 12 all all DT cord-327444-y2464gjh 45 13 of of IN cord-327444-y2464gjh 45 14 them -PRON- PRP cord-327444-y2464gjh 45 15 , , , cord-327444-y2464gjh 45 16 with with IN cord-327444-y2464gjh 45 17 the the DT cord-327444-y2464gjh 45 18 exception exception NN cord-327444-y2464gjh 45 19 of of IN cord-327444-y2464gjh 45 20 eastern eastern JJ cord-327444-y2464gjh 45 21 equine equine NN cord-327444-y2464gjh 45 22 encephalitis encephalitis RB cord-327444-y2464gjh 45 23 , , , cord-327444-y2464gjh 45 24 more more RBR cord-327444-y2464gjh 45 25 frequently frequently RB cord-327444-y2464gjh 45 26 cause cause VB cord-327444-y2464gjh 45 27 meningitis meningitis NN cord-327444-y2464gjh 45 28 . . . cord-327444-y2464gjh 46 1 The the DT cord-327444-y2464gjh 46 2 most most RBS cord-327444-y2464gjh 46 3 common common JJ cord-327444-y2464gjh 46 4 domestic domestic JJ cord-327444-y2464gjh 46 5 arthropodborne arthropodborne NNP cord-327444-y2464gjh 46 6 agents agent NNS cord-327444-y2464gjh 46 7 associated associate VBN cord-327444-y2464gjh 46 8 with with IN cord-327444-y2464gjh 46 9 viral viral JJ cord-327444-y2464gjh 46 10 meningitis meningitis NN cord-327444-y2464gjh 46 11 include include VBP cord-327444-y2464gjh 46 12 St. St. NNP cord-327444-y2464gjh 46 13 Louis Louis NNP cord-327444-y2464gjh 46 14 encephalitis encephalitis JJ cord-327444-y2464gjh 46 15 virus virus NN cord-327444-y2464gjh 46 16 , , , cord-327444-y2464gjh 46 17 the the DT cord-327444-y2464gjh 46 18 California California NNP cord-327444-y2464gjh 46 19 / / SYM cord-327444-y2464gjh 46 20 LaCrosse LaCrosse NNP cord-327444-y2464gjh 46 21 group group NN cord-327444-y2464gjh 46 22 of of IN cord-327444-y2464gjh 46 23 viruses virus NNS cord-327444-y2464gjh 46 24 , , , cord-327444-y2464gjh 46 25 Colorado Colorado NNP cord-327444-y2464gjh 46 26 tick tick VBP cord-327444-y2464gjh 46 27 fever fever NN cord-327444-y2464gjh 46 28 , , , cord-327444-y2464gjh 46 29 and and CC cord-327444-y2464gjh 46 30 West West NNP cord-327444-y2464gjh 46 31 Nile Nile NNP cord-327444-y2464gjh 46 32 virus virus NN cord-327444-y2464gjh 46 33 , , , cord-327444-y2464gjh 46 34 which which WDT cord-327444-y2464gjh 46 35 caused cause VBD cord-327444-y2464gjh 46 36 an an DT cord-327444-y2464gjh 46 37 explosive explosive JJ cord-327444-y2464gjh 46 38 outbreak outbreak NN cord-327444-y2464gjh 46 39 when when WRB cord-327444-y2464gjh 46 40 it -PRON- PRP cord-327444-y2464gjh 46 41 first first RB cord-327444-y2464gjh 46 42 arrived arrive VBD cord-327444-y2464gjh 46 43 in in IN cord-327444-y2464gjh 46 44 the the DT cord-327444-y2464gjh 46 45 United United NNP cord-327444-y2464gjh 46 46 States States NNP cord-327444-y2464gjh 46 47 in in IN cord-327444-y2464gjh 46 48 1999 1999 CD cord-327444-y2464gjh 46 49 and and CC cord-327444-y2464gjh 46 50 more more RBR cord-327444-y2464gjh 46 51 recently recently RB cord-327444-y2464gjh 46 52 in in IN cord-327444-y2464gjh 46 53 2012 2012 CD cord-327444-y2464gjh 46 54 . . . cord-327444-y2464gjh 47 1 These these DT cord-327444-y2464gjh 47 2 agents agent NNS cord-327444-y2464gjh 47 3 , , , cord-327444-y2464gjh 47 4 like like IN cord-327444-y2464gjh 47 5 enteroviruses enteroviruses NNP cord-327444-y2464gjh 47 6 , , , cord-327444-y2464gjh 47 7 have have VBP cord-327444-y2464gjh 47 8 a a DT cord-327444-y2464gjh 47 9 peak peak NN cord-327444-y2464gjh 47 10 incidence incidence NN cord-327444-y2464gjh 47 11 in in IN cord-327444-y2464gjh 47 12 summer summer NN cord-327444-y2464gjh 47 13 and and CC cord-327444-y2464gjh 47 14 early early JJ cord-327444-y2464gjh 47 15 fall fall NN cord-327444-y2464gjh 47 16 . . . cord-327444-y2464gjh 48 1 The the DT cord-327444-y2464gjh 48 2 exception exception NN cord-327444-y2464gjh 48 3 to to IN cord-327444-y2464gjh 48 4 this this DT cord-327444-y2464gjh 48 5 rule rule NN cord-327444-y2464gjh 48 6 is be VBZ cord-327444-y2464gjh 48 7 Colorado Colorado NNP cord-327444-y2464gjh 48 8 tick tick NN cord-327444-y2464gjh 48 9 fever fever NN cord-327444-y2464gjh 48 10 , , , cord-327444-y2464gjh 48 11 which which WDT cord-327444-y2464gjh 48 12 is be VBZ cord-327444-y2464gjh 48 13 more more RBR cord-327444-y2464gjh 48 14 frequently frequently RB cord-327444-y2464gjh 48 15 transmitted transmit VBN cord-327444-y2464gjh 48 16 in in IN cord-327444-y2464gjh 48 17 the the DT cord-327444-y2464gjh 48 18 spring spring NN cord-327444-y2464gjh 48 19 and and CC cord-327444-y2464gjh 48 20 early early JJ cord-327444-y2464gjh 48 21 summer summer NN cord-327444-y2464gjh 48 22 . . . cord-327444-y2464gjh 49 1 Herpesviridae Herpesviridae NNP cord-327444-y2464gjh 49 2 are be VBP cord-327444-y2464gjh 49 3 enveloped envelop VBN cord-327444-y2464gjh 49 4 , , , cord-327444-y2464gjh 49 5 double double RB cord-327444-y2464gjh 49 6 - - HYPH cord-327444-y2464gjh 49 7 stranded strand VBN cord-327444-y2464gjh 49 8 DNA dna NN cord-327444-y2464gjh 49 9 viruses virus NNS cord-327444-y2464gjh 49 10 . . . cord-327444-y2464gjh 50 1 HSV-1 hsv-1 NN cord-327444-y2464gjh 50 2 and and CC cord-327444-y2464gjh 50 3 HSV-2 HSV-2 NNP cord-327444-y2464gjh 50 4 , , , cord-327444-y2464gjh 50 5 varicella varicella NN cord-327444-y2464gjh 50 6 - - HYPH cord-327444-y2464gjh 50 7 zoster zoster NN cord-327444-y2464gjh 50 8 virus virus NN cord-327444-y2464gjh 50 9 ( ( -LRB- cord-327444-y2464gjh 50 10 VZV VZV NNP cord-327444-y2464gjh 50 11 ) ) -RRB- cord-327444-y2464gjh 50 12 , , , cord-327444-y2464gjh 50 13 Epstein Epstein NNP cord-327444-y2464gjh 50 14 - - HYPH cord-327444-y2464gjh 50 15 Barr Barr NNP cord-327444-y2464gjh 50 16 virus virus NN cord-327444-y2464gjh 50 17 ( ( -LRB- cord-327444-y2464gjh 50 18 EBV EBV NNP cord-327444-y2464gjh 50 19 ) ) -RRB- cord-327444-y2464gjh 50 20 , , , cord-327444-y2464gjh 50 21 cytomegalovirus cytomegalovirus NNP cord-327444-y2464gjh 50 22 ( ( -LRB- cord-327444-y2464gjh 50 23 CMV CMV NNP cord-327444-y2464gjh 50 24 ) ) -RRB- cord-327444-y2464gjh 50 25 , , , cord-327444-y2464gjh 50 26 and and CC cord-327444-y2464gjh 50 27 HHV-6 HHV-6 NNP cord-327444-y2464gjh 51 1 all all DT cord-327444-y2464gjh 51 2 cause cause VBP cord-327444-y2464gjh 51 3 viral viral JJ cord-327444-y2464gjh 51 4 meningitis meningitis NN cord-327444-y2464gjh 51 5 . . . cord-327444-y2464gjh 52 1 Of of IN cord-327444-y2464gjh 52 2 these these DT cord-327444-y2464gjh 52 3 , , , cord-327444-y2464gjh 52 4 however however RB cord-327444-y2464gjh 52 5 , , , cord-327444-y2464gjh 52 6 only only RB cord-327444-y2464gjh 52 7 HSV-2 HSV-2 NNP cord-327444-y2464gjh 52 8 has have VBZ cord-327444-y2464gjh 52 9 been be VBN cord-327444-y2464gjh 52 10 associated associate VBN cord-327444-y2464gjh 52 11 with with IN cord-327444-y2464gjh 52 12 a a DT cord-327444-y2464gjh 52 13 significant significant JJ cord-327444-y2464gjh 52 14 number number NN cord-327444-y2464gjh 52 15 of of IN cord-327444-y2464gjh 52 16 cases case NNS cord-327444-y2464gjh 52 17 . . . cord-327444-y2464gjh 53 1 Older old JJR cord-327444-y2464gjh 53 2 data datum NNS cord-327444-y2464gjh 53 3 suggest suggest VBP cord-327444-y2464gjh 53 4 that that IN cord-327444-y2464gjh 53 5 HSV-2 hsv-2 JJ cord-327444-y2464gjh 53 6 accounts account VBZ cord-327444-y2464gjh 53 7 for for IN cord-327444-y2464gjh 53 8 2 2 CD cord-327444-y2464gjh 53 9 - - SYM cord-327444-y2464gjh 53 10 3 3 CD cord-327444-y2464gjh 53 11 % % NN cord-327444-y2464gjh 53 12 of of IN cord-327444-y2464gjh 53 13 viral viral JJ cord-327444-y2464gjh 53 14 meningitis meningitis NN cord-327444-y2464gjh 53 15 cases case NNS cord-327444-y2464gjh 53 16 . . . cord-327444-y2464gjh 54 1 Recent recent JJ cord-327444-y2464gjh 54 2 work work NN cord-327444-y2464gjh 54 3 employing employ VBG cord-327444-y2464gjh 54 4 PCR PCR NNP cord-327444-y2464gjh 54 5 suggests suggest VBZ cord-327444-y2464gjh 54 6 that that IN cord-327444-y2464gjh 54 7 it -PRON- PRP cord-327444-y2464gjh 54 8 may may MD cord-327444-y2464gjh 54 9 be be VB cord-327444-y2464gjh 54 10 the the DT cord-327444-y2464gjh 54 11 most most RBS cord-327444-y2464gjh 54 12 common common JJ cord-327444-y2464gjh 54 13 cause cause NN cord-327444-y2464gjh 54 14 of of IN cord-327444-y2464gjh 54 15 viral viral JJ cord-327444-y2464gjh 54 16 meningitis meningitis NN cord-327444-y2464gjh 54 17 in in IN cord-327444-y2464gjh 54 18 adult adult NN cord-327444-y2464gjh 54 19 women woman NNS cord-327444-y2464gjh 54 20 . . . cord-327444-y2464gjh 55 1 HSV-2 hsv-2 VB cord-327444-y2464gjh 55 2 most most RBS cord-327444-y2464gjh 55 3 often often RB cord-327444-y2464gjh 55 4 causes cause VBZ cord-327444-y2464gjh 55 5 meningitis meningitis NN cord-327444-y2464gjh 55 6 following follow VBG cord-327444-y2464gjh 55 7 primary primary JJ cord-327444-y2464gjh 55 8 genital genital JJ cord-327444-y2464gjh 55 9 infection infection NN cord-327444-y2464gjh 55 10 . . . cord-327444-y2464gjh 56 1 Occasional occasional JJ cord-327444-y2464gjh 56 2 cases case NNS cord-327444-y2464gjh 56 3 may may MD cord-327444-y2464gjh 56 4 also also RB cord-327444-y2464gjh 56 5 follow follow VB cord-327444-y2464gjh 56 6 primary primary JJ cord-327444-y2464gjh 56 7 genital genital JJ cord-327444-y2464gjh 56 8 infection infection NN cord-327444-y2464gjh 56 9 with with IN cord-327444-y2464gjh 56 10 HSV-1 HSV-1 NNP cord-327444-y2464gjh 56 11 . . . cord-327444-y2464gjh 57 1 Patients patient NNS cord-327444-y2464gjh 57 2 with with IN cord-327444-y2464gjh 57 3 recurrent recurrent NN cord-327444-y2464gjh 57 4 ( ( -LRB- cord-327444-y2464gjh 58 1 Mollaret Mollaret NNP cord-327444-y2464gjh 58 2 's 's POS cord-327444-y2464gjh 58 3 ) ) -RRB- cord-327444-y2464gjh 58 4 meningitis meningitis NN cord-327444-y2464gjh 58 5 often often RB cord-327444-y2464gjh 58 6 have have VBP cord-327444-y2464gjh 58 7 recurrent recurrent JJ cord-327444-y2464gjh 58 8 infection infection NN cord-327444-y2464gjh 58 9 due due IN cord-327444-y2464gjh 58 10 to to IN cord-327444-y2464gjh 58 11 HSV-2 HSV-2 NNP cord-327444-y2464gjh 58 12 . . . cord-327444-y2464gjh 59 1 CSF CSF NNP cord-327444-y2464gjh 59 2 pleocytosis pleocytosis NNP cord-327444-y2464gjh 59 3 occurs occur VBZ cord-327444-y2464gjh 59 4 during during IN cord-327444-y2464gjh 59 5 both both DT cord-327444-y2464gjh 59 6 chicken chicken NN cord-327444-y2464gjh 59 7 pox pox NN cord-327444-y2464gjh 59 8 and and CC cord-327444-y2464gjh 59 9 herpes herpes NN cord-327444-y2464gjh 59 10 zoster zoster NN cord-327444-y2464gjh 59 11 with with IN cord-327444-y2464gjh 59 12 or or CC cord-327444-y2464gjh 59 13 without without IN cord-327444-y2464gjh 59 14 skin skin NN cord-327444-y2464gjh 59 15 lesions lesion NNS cord-327444-y2464gjh 59 16 ; ; : cord-327444-y2464gjh 59 17 this this DT cord-327444-y2464gjh 59 18 pleocytosis pleocytosis NN cord-327444-y2464gjh 59 19 is be VBZ cord-327444-y2464gjh 59 20 usually usually RB cord-327444-y2464gjh 59 21 asymptomatic asymptomatic JJ cord-327444-y2464gjh 59 22 but but CC cord-327444-y2464gjh 59 23 may may MD cord-327444-y2464gjh 59 24 occasionally occasionally RB cord-327444-y2464gjh 59 25 be be VB cord-327444-y2464gjh 59 26 associated associate VBN cord-327444-y2464gjh 59 27 with with IN cord-327444-y2464gjh 59 28 meningitic meningitic JJ cord-327444-y2464gjh 59 29 symptoms symptom NNS cord-327444-y2464gjh 59 30 . . . cord-327444-y2464gjh 60 1 HSV-2 HSV-2 NNP cord-327444-y2464gjh 60 2 is be VBZ cord-327444-y2464gjh 60 3 also also RB cord-327444-y2464gjh 60 4 the the DT cord-327444-y2464gjh 60 5 most most RBS cord-327444-y2464gjh 60 6 common common JJ cord-327444-y2464gjh 60 7 cause cause NN cord-327444-y2464gjh 60 8 of of IN cord-327444-y2464gjh 60 9 nonepidemic nonepidemic JJ cord-327444-y2464gjh 60 10 viral viral JJ cord-327444-y2464gjh 60 11 encephalitis encephalitis RB cord-327444-y2464gjh 60 12 , , , cord-327444-y2464gjh 60 13 commonly commonly RB cord-327444-y2464gjh 60 14 producing produce VBG cord-327444-y2464gjh 60 15 an an DT cord-327444-y2464gjh 60 16 asymmetric asymmetric JJ cord-327444-y2464gjh 60 17 lesion lesion NN cord-327444-y2464gjh 60 18 in in IN cord-327444-y2464gjh 60 19 the the DT cord-327444-y2464gjh 60 20 anterior anterior JJ cord-327444-y2464gjh 60 21 and and CC cord-327444-y2464gjh 60 22 medial medial JJ cord-327444-y2464gjh 60 23 temporal temporal JJ cord-327444-y2464gjh 60 24 lobes lobe NNS cord-327444-y2464gjh 60 25 . . . cord-327444-y2464gjh 61 1 In in IN cord-327444-y2464gjh 61 2 the the DT cord-327444-y2464gjh 61 3 immunosuppressed immunosuppressed JJ cord-327444-y2464gjh 61 4 and and CC cord-327444-y2464gjh 61 5 elderly elderly JJ cord-327444-y2464gjh 61 6 , , , cord-327444-y2464gjh 61 7 VZV VZV NNP cord-327444-y2464gjh 61 8 can can MD cord-327444-y2464gjh 61 9 cause cause VB cord-327444-y2464gjh 61 10 a a DT cord-327444-y2464gjh 61 11 multitude multitude NN cord-327444-y2464gjh 61 12 of of IN cord-327444-y2464gjh 61 13 other other JJ cord-327444-y2464gjh 61 14 CNS CNS NNP cord-327444-y2464gjh 61 15 syndromes syndrome NNS cord-327444-y2464gjh 61 16 including include VBG cord-327444-y2464gjh 61 17 stroke stroke NN cord-327444-y2464gjh 61 18 due due IN cord-327444-y2464gjh 61 19 to to IN cord-327444-y2464gjh 61 20 vasculitis vasculitis NN cord-327444-y2464gjh 61 21 , , , cord-327444-y2464gjh 61 22 herpes herpes NNP cord-327444-y2464gjh 61 23 zoster zoster NNP cord-327444-y2464gjh 61 24 ophthalmicus ophthalmicus NNP cord-327444-y2464gjh 61 25 , , , cord-327444-y2464gjh 61 26 myelitis myelitis NNP cord-327444-y2464gjh 61 27 , , , cord-327444-y2464gjh 61 28 encephalitis encephalitis RB cord-327444-y2464gjh 61 29 , , , cord-327444-y2464gjh 61 30 and and CC cord-327444-y2464gjh 61 31 cranial cranial JJ cord-327444-y2464gjh 61 32 neuropathies neuropathy NNS cord-327444-y2464gjh 61 33 . . . cord-327444-y2464gjh 62 1 CMV CMV NNP cord-327444-y2464gjh 62 2 can can MD cord-327444-y2464gjh 62 3 cause cause VB cord-327444-y2464gjh 62 4 ventriculitis ventriculitis NN cord-327444-y2464gjh 62 5 and and CC cord-327444-y2464gjh 62 6 radiculitis radiculitis VB cord-327444-y2464gjh 62 7 in in IN cord-327444-y2464gjh 62 8 patients patient NNS cord-327444-y2464gjh 62 9 with with IN cord-327444-y2464gjh 62 10 HIV HIV NNP cord-327444-y2464gjh 62 11 . . . cord-327444-y2464gjh 63 1 Lastly lastly RB cord-327444-y2464gjh 63 2 , , , cord-327444-y2464gjh 63 3 HHV-6 HHV-6 NNP cord-327444-y2464gjh 63 4 is be VBZ cord-327444-y2464gjh 63 5 now now RB cord-327444-y2464gjh 63 6 appreciated appreciate VBN cord-327444-y2464gjh 63 7 to to TO cord-327444-y2464gjh 63 8 produce produce VB cord-327444-y2464gjh 63 9 a a DT cord-327444-y2464gjh 63 10 bilateral bilateral JJ cord-327444-y2464gjh 63 11 medial medial JJ cord-327444-y2464gjh 63 12 temporal temporal JJ cord-327444-y2464gjh 63 13 lobe lobe NN cord-327444-y2464gjh 63 14 encephalitis encephalitis RB cord-327444-y2464gjh 63 15 in in IN cord-327444-y2464gjh 63 16 bone bone NN cord-327444-y2464gjh 63 17 marrow marrow NN cord-327444-y2464gjh 63 18 transplant transplant NN cord-327444-y2464gjh 63 19 patients patient NNS cord-327444-y2464gjh 63 20 . . . cord-327444-y2464gjh 64 1 HIV HIV NNP cord-327444-y2464gjh 64 2 has have VBZ cord-327444-y2464gjh 64 3 been be VBN cord-327444-y2464gjh 64 4 associated associate VBN cord-327444-y2464gjh 64 5 with with IN cord-327444-y2464gjh 64 6 both both DT cord-327444-y2464gjh 64 7 acute acute JJ cord-327444-y2464gjh 64 8 and and CC cord-327444-y2464gjh 64 9 persistent persistent JJ cord-327444-y2464gjh 64 10 lymphocytic lymphocytic JJ cord-327444-y2464gjh 64 11 meningitis meningitis NN cord-327444-y2464gjh 64 12 . . . cord-327444-y2464gjh 65 1 Onset onset NN cord-327444-y2464gjh 65 2 is be VBZ cord-327444-y2464gjh 65 3 most most RBS cord-327444-y2464gjh 65 4 commonly commonly RB cord-327444-y2464gjh 65 5 at at IN cord-327444-y2464gjh 65 6 the the DT cord-327444-y2464gjh 65 7 time time NN cord-327444-y2464gjh 65 8 of of IN cord-327444-y2464gjh 65 9 seroconversion seroconversion NN cord-327444-y2464gjh 65 10 , , , cord-327444-y2464gjh 65 11 and and CC cord-327444-y2464gjh 65 12 for for IN cord-327444-y2464gjh 65 13 the the DT cord-327444-y2464gjh 65 14 astute astute JJ cord-327444-y2464gjh 65 15 clinician clinician NN cord-327444-y2464gjh 65 16 , , , cord-327444-y2464gjh 65 17 this this DT cord-327444-y2464gjh 65 18 represents represent VBZ cord-327444-y2464gjh 65 19 an an DT cord-327444-y2464gjh 65 20 opportunity opportunity NN cord-327444-y2464gjh 65 21 to to TO cord-327444-y2464gjh 65 22 make make VB cord-327444-y2464gjh 65 23 an an DT cord-327444-y2464gjh 65 24 early early JJ cord-327444-y2464gjh 65 25 diagnosis diagnosis NN cord-327444-y2464gjh 65 26 of of IN cord-327444-y2464gjh 65 27 HIV HIV NNP cord-327444-y2464gjh 65 28 during during IN cord-327444-y2464gjh 65 29 a a DT cord-327444-y2464gjh 65 30 period period NN cord-327444-y2464gjh 65 31 of of IN cord-327444-y2464gjh 65 32 time time NN cord-327444-y2464gjh 65 33 when when WRB cord-327444-y2464gjh 65 34 the the DT cord-327444-y2464gjh 65 35 patient patient NN cord-327444-y2464gjh 65 36 's 's POS cord-327444-y2464gjh 65 37 viral viral JJ cord-327444-y2464gjh 65 38 load load NN cord-327444-y2464gjh 65 39 is be VBZ cord-327444-y2464gjh 65 40 very very RB cord-327444-y2464gjh 65 41 high high JJ cord-327444-y2464gjh 65 42 , , , cord-327444-y2464gjh 65 43 and and CC cord-327444-y2464gjh 65 44 thus thus RB cord-327444-y2464gjh 65 45 , , , cord-327444-y2464gjh 65 46 is be VBZ cord-327444-y2464gjh 65 47 at at IN cord-327444-y2464gjh 65 48 high high JJ cord-327444-y2464gjh 65 49 risk risk NN cord-327444-y2464gjh 65 50 for for IN cord-327444-y2464gjh 65 51 transmission transmission NN cord-327444-y2464gjh 65 52 . . . cord-327444-y2464gjh 66 1 The the DT cord-327444-y2464gjh 66 2 course course NN cord-327444-y2464gjh 66 3 may may MD cord-327444-y2464gjh 66 4 be be VB cord-327444-y2464gjh 66 5 uniphasic uniphasic JJ cord-327444-y2464gjh 66 6 , , , cord-327444-y2464gjh 66 7 chronic chronic JJ cord-327444-y2464gjh 66 8 , , , cord-327444-y2464gjh 66 9 or or CC cord-327444-y2464gjh 66 10 , , , cord-327444-y2464gjh 66 11 occasionally occasionally RB cord-327444-y2464gjh 66 12 , , , cord-327444-y2464gjh 66 13 recurrent recurrent JJ cord-327444-y2464gjh 66 14 . . . cord-327444-y2464gjh 67 1 In in IN cord-327444-y2464gjh 67 2 recurrent recurrent JJ cord-327444-y2464gjh 67 3 cases case NNS cord-327444-y2464gjh 67 4 that that WDT cord-327444-y2464gjh 67 5 happen happen VBP cord-327444-y2464gjh 67 6 despite despite IN cord-327444-y2464gjh 67 7 the the DT cord-327444-y2464gjh 67 8 patient patient NN cord-327444-y2464gjh 67 9 achieving achieve VBG cord-327444-y2464gjh 67 10 systemic systemic JJ cord-327444-y2464gjh 67 11 virologic virologic JJ cord-327444-y2464gjh 67 12 control control NN cord-327444-y2464gjh 67 13 with with IN cord-327444-y2464gjh 67 14 antiretroviral antiretroviral JJ cord-327444-y2464gjh 67 15 medications medication NNS cord-327444-y2464gjh 67 16 , , , cord-327444-y2464gjh 67 17 the the DT cord-327444-y2464gjh 67 18 differential differential JJ cord-327444-y2464gjh 67 19 diagnosis diagnosis NN cord-327444-y2464gjh 67 20 should should MD cord-327444-y2464gjh 67 21 include include VB cord-327444-y2464gjh 67 22 the the DT cord-327444-y2464gjh 67 23 possibility possibility NN cord-327444-y2464gjh 67 24 of of IN cord-327444-y2464gjh 67 25 CNS CNS NNP cord-327444-y2464gjh 67 26 HIV HIV NNP cord-327444-y2464gjh 67 27 escape escape VB cord-327444-y2464gjh 67 28 either either CC cord-327444-y2464gjh 67 29 due due IN cord-327444-y2464gjh 67 30 to to IN cord-327444-y2464gjh 67 31 a a DT cord-327444-y2464gjh 67 32 resistant resistant JJ cord-327444-y2464gjh 67 33 strain strain NN cord-327444-y2464gjh 67 34 of of IN cord-327444-y2464gjh 67 35 HIV HIV NNP cord-327444-y2464gjh 67 36 having have VBG cord-327444-y2464gjh 67 37 evolved evolve VBN cord-327444-y2464gjh 67 38 in in IN cord-327444-y2464gjh 67 39 the the DT cord-327444-y2464gjh 67 40 CNS CNS NNP cord-327444-y2464gjh 67 41 compartment compartment NN cord-327444-y2464gjh 67 42 or or CC cord-327444-y2464gjh 67 43 due due JJ cord-327444-y2464gjh 67 44 to to IN cord-327444-y2464gjh 67 45 inadequate inadequate JJ cord-327444-y2464gjh 67 46 CNS cns NN cord-327444-y2464gjh 67 47 penetration penetration NN cord-327444-y2464gjh 67 48 of of IN cord-327444-y2464gjh 67 49 antiretroviral antiretroviral JJ cord-327444-y2464gjh 67 50 medications medication NNS cord-327444-y2464gjh 67 51 . . . cord-327444-y2464gjh 68 1 HIV HIV NNP cord-327444-y2464gjh 68 2 RNA RNA NNP cord-327444-y2464gjh 68 3 can can MD cord-327444-y2464gjh 68 4 be be VB cord-327444-y2464gjh 68 5 identified identify VBN cord-327444-y2464gjh 68 6 in in IN cord-327444-y2464gjh 68 7 CSF CSF NNP cord-327444-y2464gjh 68 8 using use VBG cord-327444-y2464gjh 68 9 reverse reverse JJ cord-327444-y2464gjh 68 10 transcriptase transcriptase NN cord-327444-y2464gjh 68 11 - - HYPH cord-327444-y2464gjh 68 12 polymerase polymerase NN cord-327444-y2464gjh 68 13 chain chain NN cord-327444-y2464gjh 68 14 reaction reaction NN cord-327444-y2464gjh 68 15 ( ( -LRB- cord-327444-y2464gjh 68 16 RT RT NNP cord-327444-y2464gjh 68 17 - - HYPH cord-327444-y2464gjh 68 18 PCR PCR NNP cord-327444-y2464gjh 68 19 ) ) -RRB- cord-327444-y2464gjh 68 20 methods method NNS cord-327444-y2464gjh 68 21 , , , cord-327444-y2464gjh 68 22 which which WDT cord-327444-y2464gjh 68 23 also also RB cord-327444-y2464gjh 68 24 allow allow VBP cord-327444-y2464gjh 68 25 an an DT cord-327444-y2464gjh 68 26 assessment assessment NN cord-327444-y2464gjh 68 27 of of IN cord-327444-y2464gjh 68 28 viral viral JJ cord-327444-y2464gjh 68 29 burden burden NN cord-327444-y2464gjh 68 30 and and CC cord-327444-y2464gjh 68 31 the the DT cord-327444-y2464gjh 68 32 resistance resistance NN cord-327444-y2464gjh 68 33 mutation mutation NN cord-327444-y2464gjh 68 34 profile profile NN cord-327444-y2464gjh 68 35 . . . cord-327444-y2464gjh 69 1 Although although IN cord-327444-y2464gjh 69 2 HIV HIV NNP cord-327444-y2464gjh 69 3 itself -PRON- PRP cord-327444-y2464gjh 69 4 typically typically RB cord-327444-y2464gjh 69 5 causes cause VBZ cord-327444-y2464gjh 69 6 a a DT cord-327444-y2464gjh 69 7 CSF CSF NNP cord-327444-y2464gjh 69 8 pleocytosis pleocytosis NN cord-327444-y2464gjh 69 9 of of IN cord-327444-y2464gjh 69 10 less less JJR cord-327444-y2464gjh 69 11 than than IN cord-327444-y2464gjh 69 12 20 20 CD cord-327444-y2464gjh 69 13 cells cell NNS cord-327444-y2464gjh 69 14 / / SYM cord-327444-y2464gjh 69 15 mm mm NN cord-327444-y2464gjh 69 16 3 3 CD cord-327444-y2464gjh 69 17 with with IN cord-327444-y2464gjh 69 18 a a DT cord-327444-y2464gjh 69 19 _SP cord-327444-y2464gjh 69 20 As as IN cord-327444-y2464gjh 69 21 discussed discuss VBN cord-327444-y2464gjh 69 22 previously previously RB cord-327444-y2464gjh 69 23 , , , cord-327444-y2464gjh 69 24 HSV-1 HSV-1 NNP cord-327444-y2464gjh 69 25 , , , cord-327444-y2464gjh 69 26 HHV-6 HHV-6 NNP cord-327444-y2464gjh 69 27 , , , cord-327444-y2464gjh 69 28 VZV VZV NNP cord-327444-y2464gjh 69 29 , , , cord-327444-y2464gjh 69 30 CMV CMV NNP cord-327444-y2464gjh 69 31 , , , cord-327444-y2464gjh 69 32 and and CC cord-327444-y2464gjh 69 33 EBV EBV NNP cord-327444-y2464gjh 69 34 occasionally occasionally RB cord-327444-y2464gjh 69 35 cause cause VBP cord-327444-y2464gjh 69 36 meningitis meningitis NN cord-327444-y2464gjh 69 37 . . . cord-327444-y2464gjh 70 1 Mumps mumps NN cord-327444-y2464gjh 70 2 virus virus NN cord-327444-y2464gjh 70 3 , , , cord-327444-y2464gjh 70 4 like like IN cord-327444-y2464gjh 70 5 measles measles NN cord-327444-y2464gjh 70 6 virus virus NN cord-327444-y2464gjh 70 7 , , , cord-327444-y2464gjh 70 8 is be VBZ cord-327444-y2464gjh 70 9 a a DT cord-327444-y2464gjh 70 10 paramyxovirus paramyxovirus NN cord-327444-y2464gjh 70 11 , , , cord-327444-y2464gjh 70 12 containing contain VBG cord-327444-y2464gjh 70 13 a a DT cord-327444-y2464gjh 70 14 single single RB cord-327444-y2464gjh 70 15 - - HYPH cord-327444-y2464gjh 70 16 stranded strand VBN cord-327444-y2464gjh 70 17 negative negative JJ cord-327444-y2464gjh 70 18 - - HYPH cord-327444-y2464gjh 70 19 sense sense NN cord-327444-y2464gjh 70 20 RNA RNA NNP cord-327444-y2464gjh 70 21 genome genome NN cord-327444-y2464gjh 70 22 . . . cord-327444-y2464gjh 71 1 Before before IN cord-327444-y2464gjh 71 2 the the DT cord-327444-y2464gjh 71 3 advent advent NN cord-327444-y2464gjh 71 4 of of IN cord-327444-y2464gjh 71 5 the the DT cord-327444-y2464gjh 71 6 mumps mumps NN cord-327444-y2464gjh 71 7 vaccine vaccine NN cord-327444-y2464gjh 71 8 , , , cord-327444-y2464gjh 71 9 mumps mumps NN cord-327444-y2464gjh 71 10 was be VBD cord-327444-y2464gjh 71 11 the the DT cord-327444-y2464gjh 71 12 most most RBS cord-327444-y2464gjh 71 13 common common JJ cord-327444-y2464gjh 71 14 cause cause NN cord-327444-y2464gjh 71 15 of of IN cord-327444-y2464gjh 71 16 viral viral JJ cord-327444-y2464gjh 71 17 meningitis meningitis NN cord-327444-y2464gjh 71 18 , , , cord-327444-y2464gjh 71 19 accounting account VBG cord-327444-y2464gjh 71 20 for for IN cord-327444-y2464gjh 71 21 more more JJR cord-327444-y2464gjh 71 22 than than IN cord-327444-y2464gjh 71 23 15 15 CD cord-327444-y2464gjh 71 24 % % NN cord-327444-y2464gjh 71 25 of of IN cord-327444-y2464gjh 71 26 isolates isolate NNS cord-327444-y2464gjh 71 27 . . . cord-327444-y2464gjh 72 1 Currently currently RB cord-327444-y2464gjh 72 2 , , , cord-327444-y2464gjh 72 3 mumps mumps NN cord-327444-y2464gjh 72 4 virus virus NN cord-327444-y2464gjh 72 5 meningitis meningitis NN cord-327444-y2464gjh 72 6 is be VBZ cord-327444-y2464gjh 72 7 rare rare JJ cord-327444-y2464gjh 72 8 in in IN cord-327444-y2464gjh 72 9 developed develop VBN cord-327444-y2464gjh 72 10 countries country NNS cord-327444-y2464gjh 72 11 . . . cord-327444-y2464gjh 73 1 The the DT cord-327444-y2464gjh 73 2 virus virus NN cord-327444-y2464gjh 73 3 is be VBZ cord-327444-y2464gjh 73 4 still still RB cord-327444-y2464gjh 73 5 a a DT cord-327444-y2464gjh 73 6 common common JJ cord-327444-y2464gjh 73 7 cause cause NN cord-327444-y2464gjh 73 8 of of IN cord-327444-y2464gjh 73 9 CNS CNS NNP cord-327444-y2464gjh 73 10 infection infection NN cord-327444-y2464gjh 73 11 in in IN cord-327444-y2464gjh 73 12 underdeveloped underdeveloped JJ cord-327444-y2464gjh 73 13 countries country NNS cord-327444-y2464gjh 73 14 and and CC cord-327444-y2464gjh 73 15 countries country NNS cord-327444-y2464gjh 73 16 like like IN cord-327444-y2464gjh 73 17 Japan Japan NNP cord-327444-y2464gjh 73 18 in in IN cord-327444-y2464gjh 73 19 which which WDT cord-327444-y2464gjh 73 20 vaccination vaccination NN cord-327444-y2464gjh 73 21 programs program NNS cord-327444-y2464gjh 73 22 have have VBP cord-327444-y2464gjh 73 23 been be VBN cord-327444-y2464gjh 73 24 suspended suspend VBN cord-327444-y2464gjh 73 25 due due IN cord-327444-y2464gjh 73 26 to to IN cord-327444-y2464gjh 73 27 vaccine vaccine NN cord-327444-y2464gjh 73 28 - - HYPH cord-327444-y2464gjh 73 29 induced induce VBN cord-327444-y2464gjh 73 30 cases case NNS cord-327444-y2464gjh 73 31 of of IN cord-327444-y2464gjh 73 32 lymphocytic lymphocytic JJ cord-327444-y2464gjh 73 33 meningitis meningitis NN cord-327444-y2464gjh 73 34 . . . cord-327444-y2464gjh 74 1 In in IN cord-327444-y2464gjh 74 2 these these DT cord-327444-y2464gjh 74 3 countries country NNS cord-327444-y2464gjh 74 4 , , , cord-327444-y2464gjh 74 5 mumps mumps NN cord-327444-y2464gjh 74 6 virus virus NN cord-327444-y2464gjh 74 7 is be VBZ cord-327444-y2464gjh 74 8 an an DT cord-327444-y2464gjh 74 9 important important JJ cord-327444-y2464gjh 74 10 cause cause NN cord-327444-y2464gjh 74 11 of of IN cord-327444-y2464gjh 74 12 sensorineural sensorineural JJ cord-327444-y2464gjh 74 13 deafness deafness NN cord-327444-y2464gjh 74 14 . . . cord-327444-y2464gjh 75 1 In in IN cord-327444-y2464gjh 75 2 experimental experimental JJ cord-327444-y2464gjh 75 3 animals animal NNS cord-327444-y2464gjh 75 4 infected infect VBN cord-327444-y2464gjh 75 5 in in IN cord-327444-y2464gjh 75 6 utero utero NN cord-327444-y2464gjh 75 7 , , , cord-327444-y2464gjh 75 8 mumps mumps NN cord-327444-y2464gjh 75 9 can can MD cord-327444-y2464gjh 75 10 cause cause VB cord-327444-y2464gjh 75 11 aqueductal aqueductal NNP cord-327444-y2464gjh 75 12 stenosis stenosis NN cord-327444-y2464gjh 75 13 , , , cord-327444-y2464gjh 75 14 and and CC cord-327444-y2464gjh 75 15 there there EX cord-327444-y2464gjh 75 16 are be VBP cord-327444-y2464gjh 75 17 approximately approximately RB cord-327444-y2464gjh 75 18 60 60 CD cord-327444-y2464gjh 75 19 human human JJ cord-327444-y2464gjh 75 20 cases case NNS cord-327444-y2464gjh 75 21 of of IN cord-327444-y2464gjh 75 22 this this DT cord-327444-y2464gjh 75 23 in in IN cord-327444-y2464gjh 75 24 the the DT cord-327444-y2464gjh 75 25 literature literature NN cord-327444-y2464gjh 75 26 . . . cord-327444-y2464gjh 76 1 LCMV LCMV NNP cord-327444-y2464gjh 76 2 is be VBZ cord-327444-y2464gjh 76 3 an an DT cord-327444-y2464gjh 76 4 arenavirus arenavirus NN cord-327444-y2464gjh 76 5 containing contain VBG cord-327444-y2464gjh 76 6 a a DT cord-327444-y2464gjh 76 7 single single RB cord-327444-y2464gjh 76 8 - - HYPH cord-327444-y2464gjh 76 9 stranded stranded JJ cord-327444-y2464gjh 76 10 ambisense ambisense NN cord-327444-y2464gjh 76 11 RNA RNA NNP cord-327444-y2464gjh 76 12 genome genome NN cord-327444-y2464gjh 76 13 . . . cord-327444-y2464gjh 77 1 Wild wild JJ cord-327444-y2464gjh 77 2 and and CC cord-327444-y2464gjh 77 3 laboratory laboratory NN cord-327444-y2464gjh 77 4 mice mouse NNS cord-327444-y2464gjh 77 5 are be VBP cord-327444-y2464gjh 77 6 the the DT cord-327444-y2464gjh 77 7 natural natural JJ cord-327444-y2464gjh 77 8 hosts host NNS cord-327444-y2464gjh 77 9 , , , cord-327444-y2464gjh 77 10 and and CC cord-327444-y2464gjh 77 11 there there EX cord-327444-y2464gjh 77 12 is be VBZ cord-327444-y2464gjh 77 13 recent recent JJ cord-327444-y2464gjh 77 14 evidence evidence NN cord-327444-y2464gjh 77 15 that that IN cord-327444-y2464gjh 77 16 snakes snake NNS cord-327444-y2464gjh 77 17 harbor harbor VBP cord-327444-y2464gjh 77 18 these these DT cord-327444-y2464gjh 77 19 viruses virus NNS cord-327444-y2464gjh 77 20 as as RB cord-327444-y2464gjh 77 21 well well RB cord-327444-y2464gjh 77 22 . . . cord-327444-y2464gjh 78 1 LCMV LCMV NNP cord-327444-y2464gjh 78 2 is be VBZ cord-327444-y2464gjh 78 3 associated associate VBN cord-327444-y2464gjh 78 4 with with IN cord-327444-y2464gjh 78 5 human human JJ cord-327444-y2464gjh 78 6 cases case NNS cord-327444-y2464gjh 78 7 of of IN cord-327444-y2464gjh 78 8 meningoencephalitis meningoencephalitis NNP cord-327444-y2464gjh 78 9 as as IN cord-327444-y2464gjh 78 10 a a DT cord-327444-y2464gjh 78 11 consequence consequence NN cord-327444-y2464gjh 78 12 of of IN cord-327444-y2464gjh 78 13 exposure exposure NN cord-327444-y2464gjh 78 14 to to IN cord-327444-y2464gjh 78 15 laboratory laboratory NN cord-327444-y2464gjh 78 16 or or CC cord-327444-y2464gjh 78 17 wild wild JJ cord-327444-y2464gjh 78 18 mice mouse NNS cord-327444-y2464gjh 78 19 , , , cord-327444-y2464gjh 78 20 and and CC cord-327444-y2464gjh 78 21 in in IN cord-327444-y2464gjh 78 22 rare rare JJ cord-327444-y2464gjh 78 23 epidemics epidemic NNS cord-327444-y2464gjh 78 24 it -PRON- PRP cord-327444-y2464gjh 78 25 is be VBZ cord-327444-y2464gjh 78 26 associated associate VBN cord-327444-y2464gjh 78 27 with with IN cord-327444-y2464gjh 78 28 pet pet JJ cord-327444-y2464gjh 78 29 hamsters hamster NNS cord-327444-y2464gjh 78 30 . . . cord-327444-y2464gjh 79 1 Cases case NNS cord-327444-y2464gjh 79 2 are be VBP cord-327444-y2464gjh 79 3 more more RBR cord-327444-y2464gjh 79 4 common common JJ cord-327444-y2464gjh 79 5 in in IN cord-327444-y2464gjh 79 6 impoverished impoverished JJ cord-327444-y2464gjh 79 7 areas area NNS cord-327444-y2464gjh 79 8 with with IN cord-327444-y2464gjh 79 9 poor poor JJ cord-327444-y2464gjh 79 10 hygiene hygiene NN cord-327444-y2464gjh 79 11 . . . cord-327444-y2464gjh 80 1 Important important JJ cord-327444-y2464gjh 80 2 outbreaks outbreak NNS cord-327444-y2464gjh 80 3 of of IN cord-327444-y2464gjh 80 4 fatal fatal JJ cord-327444-y2464gjh 80 5 LCMV LCMV NNP cord-327444-y2464gjh 80 6 meningoencephalitis meningoencephalitis NNP cord-327444-y2464gjh 80 7 have have VBP cord-327444-y2464gjh 80 8 also also RB cord-327444-y2464gjh 80 9 occurred occur VBN cord-327444-y2464gjh 80 10 in in IN cord-327444-y2464gjh 80 11 clusters cluster NNS cord-327444-y2464gjh 80 12 of of IN cord-327444-y2464gjh 80 13 solid solid JJ cord-327444-y2464gjh 80 14 organ organ NN cord-327444-y2464gjh 80 15 transplant transplant NN cord-327444-y2464gjh 80 16 patients patient NNS cord-327444-y2464gjh 80 17 infected infect VBN cord-327444-y2464gjh 80 18 by by IN cord-327444-y2464gjh 80 19 organs organ NNS cord-327444-y2464gjh 80 20 from from IN cord-327444-y2464gjh 80 21 asymptomatic asymptomatic JJ cord-327444-y2464gjh 80 22 donors donor NNS cord-327444-y2464gjh 80 23 . . . cord-327444-y2464gjh 81 1 LCMV LCMV NNP cord-327444-y2464gjh 81 2 meningitis meningitis NN cord-327444-y2464gjh 81 3 typically typically RB cord-327444-y2464gjh 81 4 occurs occur VBZ cord-327444-y2464gjh 81 5 during during IN cord-327444-y2464gjh 81 6 autumn autumn NN cord-327444-y2464gjh 81 7 and and CC cord-327444-y2464gjh 81 8 early early JJ cord-327444-y2464gjh 81 9 winter winter NN cord-327444-y2464gjh 81 10 , , , cord-327444-y2464gjh 81 11 and and CC cord-327444-y2464gjh 81 12 it -PRON- PRP cord-327444-y2464gjh 81 13 has have VBZ cord-327444-y2464gjh 81 14 been be VBN cord-327444-y2464gjh 81 15 suggested suggest VBN cord-327444-y2464gjh 81 16 that that IN cord-327444-y2464gjh 81 17 this this DT cord-327444-y2464gjh 81 18 reflects reflect VBZ cord-327444-y2464gjh 81 19 more more RBR cord-327444-y2464gjh 81 20 extensive extensive JJ cord-327444-y2464gjh 81 21 mouse mouse NN cord-327444-y2464gjh 81 22 - - HYPH cord-327444-y2464gjh 81 23 human human JJ cord-327444-y2464gjh 81 24 contact contact NN cord-327444-y2464gjh 81 25 as as IN cord-327444-y2464gjh 81 26 mice mouse NNS cord-327444-y2464gjh 81 27 move move VBP cord-327444-y2464gjh 81 28 inside inside RB cord-327444-y2464gjh 81 29 to to TO cord-327444-y2464gjh 81 30 escape escape VB cord-327444-y2464gjh 81 31 winter winter NN cord-327444-y2464gjh 81 32 weather weather NN cord-327444-y2464gjh 81 33 . . . cord-327444-y2464gjh 82 1 In in IN cord-327444-y2464gjh 82 2 studies study NNS cord-327444-y2464gjh 82 3 before before IN cord-327444-y2464gjh 82 4 1960 1960 CD cord-327444-y2464gjh 82 5 , , , cord-327444-y2464gjh 82 6 the the DT cord-327444-y2464gjh 82 7 virus virus NN cord-327444-y2464gjh 82 8 was be VBD cord-327444-y2464gjh 82 9 thought think VBN cord-327444-y2464gjh 82 10 to to TO cord-327444-y2464gjh 82 11 account account VB cord-327444-y2464gjh 82 12 for for IN cord-327444-y2464gjh 82 13 9 9 CD cord-327444-y2464gjh 82 14 - - SYM cord-327444-y2464gjh 82 15 11 11 CD cord-327444-y2464gjh 82 16 % % NN cord-327444-y2464gjh 82 17 of of IN cord-327444-y2464gjh 82 18 cases case NNS cord-327444-y2464gjh 82 19 of of IN cord-327444-y2464gjh 82 20 viral viral JJ cord-327444-y2464gjh 82 21 meningitis meningitis NN cord-327444-y2464gjh 82 22 . . . cord-327444-y2464gjh 83 1 In in IN cord-327444-y2464gjh 83 2 recent recent JJ cord-327444-y2464gjh 83 3 years year NNS cord-327444-y2464gjh 83 4 , , , cord-327444-y2464gjh 83 5 reports report NNS cord-327444-y2464gjh 83 6 of of IN cord-327444-y2464gjh 83 7 meningitis meningitis NN cord-327444-y2464gjh 83 8 due due IN cord-327444-y2464gjh 83 9 to to IN cord-327444-y2464gjh 83 10 LCMV LCMV NNP cord-327444-y2464gjh 83 11 have have VBP cord-327444-y2464gjh 83 12 been be VBN cord-327444-y2464gjh 83 13 rare rare JJ cord-327444-y2464gjh 83 14 . . . cord-327444-y2464gjh 84 1 However however RB cord-327444-y2464gjh 84 2 , , , cord-327444-y2464gjh 84 3 congenital congenital JJ cord-327444-y2464gjh 84 4 LCMV LCMV NNP cord-327444-y2464gjh 84 5 infection infection NN cord-327444-y2464gjh 84 6 is be VBZ cord-327444-y2464gjh 84 7 a a DT cord-327444-y2464gjh 84 8 significant significant JJ cord-327444-y2464gjh 84 9 , , , cord-327444-y2464gjh 84 10 often often RB cord-327444-y2464gjh 84 11 unrecognized unrecognized JJ cord-327444-y2464gjh 84 12 cause cause NN cord-327444-y2464gjh 84 13 of of IN cord-327444-y2464gjh 84 14 chorioretinitis chorioretinitis NNP cord-327444-y2464gjh 84 15 , , , cord-327444-y2464gjh 84 16 hydrocephalus hydrocephalus NN cord-327444-y2464gjh 84 17 , , , cord-327444-y2464gjh 84 18 microcephaly microcephaly NNS cord-327444-y2464gjh 84 19 or or CC cord-327444-y2464gjh 84 20 macrocephaly macrocephaly NNP cord-327444-y2464gjh 84 21 , , , cord-327444-y2464gjh 84 22 and and CC cord-327444-y2464gjh 84 23 mental mental JJ cord-327444-y2464gjh 84 24 retardation retardation NN cord-327444-y2464gjh 84 25 . . . cord-327444-y2464gjh 85 1 Acquired acquire VBN cord-327444-y2464gjh 85 2 LCMV LCMV NNP cord-327444-y2464gjh 85 3 infection infection NN cord-327444-y2464gjh 85 4 likewise likewise RB cord-327444-y2464gjh 85 5 may may MD cord-327444-y2464gjh 85 6 be be VB cord-327444-y2464gjh 85 7 an an DT cord-327444-y2464gjh 85 8 underappreciated underappreciated JJ cord-327444-y2464gjh 85 9 illness illness NN cord-327444-y2464gjh 85 10 . . . cord-327444-y2464gjh 86 1 The the DT cord-327444-y2464gjh 86 2 meningitis meningitis NN cord-327444-y2464gjh 86 3 caused cause VBN cord-327444-y2464gjh 86 4 by by IN cord-327444-y2464gjh 86 5 LCMV LCMV NNP cord-327444-y2464gjh 86 6 may may MD cord-327444-y2464gjh 86 7 be be VB cord-327444-y2464gjh 86 8 extremely extremely RB cord-327444-y2464gjh 86 9 persistent persistent JJ cord-327444-y2464gjh 86 10 and and CC cord-327444-y2464gjh 86 11 has have VBZ cord-327444-y2464gjh 86 12 been be VBN cord-327444-y2464gjh 86 13 associated associate VBN cord-327444-y2464gjh 86 14 with with IN cord-327444-y2464gjh 86 15 symptoms symptom NNS cord-327444-y2464gjh 86 16 and and CC cord-327444-y2464gjh 86 17 CSF CSF NNP cord-327444-y2464gjh 86 18 abnormalities abnormality NNS cord-327444-y2464gjh 86 19 lasting last VBG cord-327444-y2464gjh 86 20 for for IN cord-327444-y2464gjh 86 21 months month NNS cord-327444-y2464gjh 86 22 . . . cord-327444-y2464gjh 87 1 Acquired acquire VBN cord-327444-y2464gjh 87 2 LCMV LCMV NNP cord-327444-y2464gjh 87 3 infection infection NN cord-327444-y2464gjh 87 4 may may MD cord-327444-y2464gjh 87 5 also also RB cord-327444-y2464gjh 87 6 be be VB cord-327444-y2464gjh 87 7 associated associate VBN cord-327444-y2464gjh 87 8 with with IN cord-327444-y2464gjh 87 9 encephalitis encephalitis NN cord-327444-y2464gjh 87 10 , , , cord-327444-y2464gjh 87 11 transverse transverse JJ cord-327444-y2464gjh 87 12 myelitis myelitis NNP cord-327444-y2464gjh 87 13 , , , cord-327444-y2464gjh 87 14 a a DT cord-327444-y2464gjh 87 15 Guillain Guillain NNP cord-327444-y2464gjh 87 16 - - HYPH cord-327444-y2464gjh 87 17 Barré Barré NNP cord-327444-y2464gjh 87 18 - - HYPH cord-327444-y2464gjh 87 19 type type NN cord-327444-y2464gjh 87 20 syndrome syndrome NN cord-327444-y2464gjh 87 21 , , , cord-327444-y2464gjh 87 22 and and CC cord-327444-y2464gjh 87 23 both both CC cord-327444-y2464gjh 87 24 transient transient JJ cord-327444-y2464gjh 87 25 and and CC cord-327444-y2464gjh 87 26 permanent permanent JJ cord-327444-y2464gjh 87 27 hydrocephalus hydrocephalus NN cord-327444-y2464gjh 87 28 . . . cord-327444-y2464gjh 88 1 Parvovirus Parvovirus NNP cord-327444-y2464gjh 88 2 B19 B19 NNP cord-327444-y2464gjh 88 3 most most RBS cord-327444-y2464gjh 88 4 commonly commonly RB cord-327444-y2464gjh 88 5 causes cause VBZ cord-327444-y2464gjh 88 6 an an DT cord-327444-y2464gjh 88 7 acute acute JJ cord-327444-y2464gjh 88 8 febrile febrile JJ cord-327444-y2464gjh 88 9 illness illness NN cord-327444-y2464gjh 88 10 , , , cord-327444-y2464gjh 88 11 accompanied accompany VBN cord-327444-y2464gjh 88 12 by by IN cord-327444-y2464gjh 88 13 erythema erythema NNP cord-327444-y2464gjh 88 14 infectiosum infectiosum NNP cord-327444-y2464gjh 88 15 . . . cord-327444-y2464gjh 89 1 The the DT cord-327444-y2464gjh 89 2 virus virus NN cord-327444-y2464gjh 89 3 can can MD cord-327444-y2464gjh 89 4 also also RB cord-327444-y2464gjh 89 5 produce produce VB cord-327444-y2464gjh 89 6 meningitis meningitis NN cord-327444-y2464gjh 89 7 and and CC cord-327444-y2464gjh 89 8 meningoencephalitis meningoencephalitis NN cord-327444-y2464gjh 89 9 in in IN cord-327444-y2464gjh 89 10 both both CC cord-327444-y2464gjh 89 11 immunocompetent immunocompetent JJ cord-327444-y2464gjh 89 12 and and CC cord-327444-y2464gjh 89 13 immunocompromised immunocompromised JJ cord-327444-y2464gjh 89 14 patients patient NNS cord-327444-y2464gjh 89 15 . . . cord-327444-y2464gjh 90 1 The the DT cord-327444-y2464gjh 90 2 combination combination NN cord-327444-y2464gjh 90 3 of of IN cord-327444-y2464gjh 90 4 rash rash NN cord-327444-y2464gjh 90 5 and and CC cord-327444-y2464gjh 90 6 signs sign NNS cord-327444-y2464gjh 90 7 of of IN cord-327444-y2464gjh 90 8 meningeal meningeal JJ cord-327444-y2464gjh 90 9 irritation irritation NN cord-327444-y2464gjh 90 10 may may MD cord-327444-y2464gjh 90 11 mimic mimic VB cord-327444-y2464gjh 90 12 acute acute JJ cord-327444-y2464gjh 90 13 meningococcal meningococcal JJ cord-327444-y2464gjh 90 14 infection infection NN cord-327444-y2464gjh 90 15 . . . cord-327444-y2464gjh 91 1 Other other JJ cord-327444-y2464gjh 91 2 items item NNS cord-327444-y2464gjh 91 3 to to TO cord-327444-y2464gjh 91 4 always always RB cord-327444-y2464gjh 91 5 consider consider VB cord-327444-y2464gjh 91 6 in in IN cord-327444-y2464gjh 91 7 the the DT cord-327444-y2464gjh 91 8 differential differential NN cord-327444-y2464gjh 91 9 of of IN cord-327444-y2464gjh 91 10 rash rash NN cord-327444-y2464gjh 91 11 and and CC cord-327444-y2464gjh 91 12 meningitis meningitis NN cord-327444-y2464gjh 91 13 include include VBP cord-327444-y2464gjh 91 14 West West NNP cord-327444-y2464gjh 91 15 Nile Nile NNP cord-327444-y2464gjh 91 16 virus virus NN cord-327444-y2464gjh 91 17 , , , cord-327444-y2464gjh 91 18 syphilis syphili NNS cord-327444-y2464gjh 91 19 , , , cord-327444-y2464gjh 91 20 rickettsial rickettsial JJ cord-327444-y2464gjh 91 21 infection infection NN cord-327444-y2464gjh 91 22 ( ( -LRB- cord-327444-y2464gjh 91 23 i.e. i.e. FW cord-327444-y2464gjh 91 24 , , , cord-327444-y2464gjh 91 25 Rocky Rocky NNP cord-327444-y2464gjh 91 26 Mountain Mountain NNP cord-327444-y2464gjh 91 27 spotted spot VBD cord-327444-y2464gjh 91 28 fever fever NN cord-327444-y2464gjh 91 29 ) ) -RRB- cord-327444-y2464gjh 91 30 , , , cord-327444-y2464gjh 91 31 enteroviruses enteroviruses NNP cord-327444-y2464gjh 91 32 , , , cord-327444-y2464gjh 91 33 Lyme Lyme NNP cord-327444-y2464gjh 91 34 disease disease NN cord-327444-y2464gjh 91 35 , , , cord-327444-y2464gjh 91 36 human human JJ cord-327444-y2464gjh 91 37 granulocytic granulocytic JJ cord-327444-y2464gjh 91 38 anaplasmosis anaplasmosis NN cord-327444-y2464gjh 91 39 , , , cord-327444-y2464gjh 91 40 and and CC cord-327444-y2464gjh 91 41 human human JJ cord-327444-y2464gjh 91 42 monocytic monocytic NNP cord-327444-y2464gjh 91 43 ehrlichiosis ehrlichiosis NNP cord-327444-y2464gjh 91 44 , , , cord-327444-y2464gjh 91 45 many many JJ cord-327444-y2464gjh 91 46 of of IN cord-327444-y2464gjh 91 47 which which WDT cord-327444-y2464gjh 91 48 are be VBP cord-327444-y2464gjh 91 49 treatable treatable JJ cord-327444-y2464gjh 91 50 . . . cord-327444-y2464gjh 92 1 CSF CSF NNP cord-327444-y2464gjh 92 2 findings finding NNS cord-327444-y2464gjh 92 3 are be VBP cord-327444-y2464gjh 92 4 typical typical JJ cord-327444-y2464gjh 92 5 of of IN cord-327444-y2464gjh 92 6 viral viral JJ cord-327444-y2464gjh 92 7 infection infection NN cord-327444-y2464gjh 92 8 . . . cord-327444-y2464gjh 93 1 Occasionally occasionally RB cord-327444-y2464gjh 93 2 , , , cord-327444-y2464gjh 93 3 CSF CSF NNP cord-327444-y2464gjh 93 4 may may MD cord-327444-y2464gjh 93 5 be be VB cord-327444-y2464gjh 93 6 normal normal JJ cord-327444-y2464gjh 93 7 . . . cord-327444-y2464gjh 94 1 Rare rare JJ cord-327444-y2464gjh 94 2 causes cause NNS cord-327444-y2464gjh 94 3 of of IN cord-327444-y2464gjh 94 4 viral viral JJ cord-327444-y2464gjh 94 5 meningitis meningitis NN cord-327444-y2464gjh 94 6 include include VBP cord-327444-y2464gjh 94 7 influenza influenza NN cord-327444-y2464gjh 94 8 A a NN cord-327444-y2464gjh 94 9 and and CC cord-327444-y2464gjh 94 10 B b NN cord-327444-y2464gjh 94 11 viruses virus NNS cord-327444-y2464gjh 94 12 , , , cord-327444-y2464gjh 94 13 parainfluenza parainfluenza NNP cord-327444-y2464gjh 94 14 viruses virus NNS cord-327444-y2464gjh 94 15 , , , cord-327444-y2464gjh 94 16 rotaviruses rotaviruses NNP cord-327444-y2464gjh 94 17 , , , cord-327444-y2464gjh 94 18 coronaviruses coronaviruse NNS cord-327444-y2464gjh 94 19 , , , cord-327444-y2464gjh 94 20 measles measles NN cord-327444-y2464gjh 94 21 virus virus NN cord-327444-y2464gjh 94 22 , , , cord-327444-y2464gjh 94 23 and and CC cord-327444-y2464gjh 94 24 adenoviruses adenovirus NNS cord-327444-y2464gjh 94 25 . . . cord-327444-y2464gjh 95 1 Lastly lastly RB cord-327444-y2464gjh 95 2 , , , cord-327444-y2464gjh 95 3 although although IN cord-327444-y2464gjh 95 4 JC JC NNP cord-327444-y2464gjh 95 5 virus virus NN cord-327444-y2464gjh 95 6 is be VBZ cord-327444-y2464gjh 95 7 typically typically RB cord-327444-y2464gjh 95 8 associated associate VBN cord-327444-y2464gjh 95 9 with with IN cord-327444-y2464gjh 95 10 progressive progressive JJ cord-327444-y2464gjh 95 11 multifocal multifocal JJ cord-327444-y2464gjh 95 12 leukoencephalopathy leukoencephalopathy NNS cord-327444-y2464gjh 95 13 , , , cord-327444-y2464gjh 95 14 it -PRON- PRP cord-327444-y2464gjh 95 15 can can MD cord-327444-y2464gjh 95 16 also also RB cord-327444-y2464gjh 95 17 cause cause VB cord-327444-y2464gjh 95 18 viral viral JJ cord-327444-y2464gjh 95 19 meningitis meningitis NN cord-327444-y2464gjh 95 20 , , , cord-327444-y2464gjh 95 21 especially especially RB cord-327444-y2464gjh 95 22 in in IN cord-327444-y2464gjh 95 23 the the DT cord-327444-y2464gjh 95 24 immunosuppressed immunosuppressed JJ cord-327444-y2464gjh 95 25 . . . cord-327444-y2464gjh 96 1 Onset onset NN cord-327444-y2464gjh 96 2 of of IN cord-327444-y2464gjh 96 3 viral viral JJ cord-327444-y2464gjh 96 4 meningitis meningitis NN cord-327444-y2464gjh 96 5 may may MD cord-327444-y2464gjh 96 6 occur occur VB cord-327444-y2464gjh 96 7 following follow VBG cord-327444-y2464gjh 96 8 a a DT cord-327444-y2464gjh 96 9 symptomatic symptomatic JJ cord-327444-y2464gjh 96 10 , , , cord-327444-y2464gjh 96 11 systemic systemic JJ cord-327444-y2464gjh 96 12 illness illness NN cord-327444-y2464gjh 96 13 , , , cord-327444-y2464gjh 96 14 or or CC cord-327444-y2464gjh 96 15 as as IN cord-327444-y2464gjh 96 16 an an DT cord-327444-y2464gjh 96 17 isolated isolated JJ cord-327444-y2464gjh 96 18 event event NN cord-327444-y2464gjh 96 19 following follow VBG cord-327444-y2464gjh 96 20 inapparent inapparent JJ cord-327444-y2464gjh 96 21 systemic systemic JJ cord-327444-y2464gjh 96 22 infection infection NN cord-327444-y2464gjh 96 23 . . . cord-327444-y2464gjh 97 1 Patients patient NNS cord-327444-y2464gjh 97 2 can can MD cord-327444-y2464gjh 97 3 present present VB cord-327444-y2464gjh 97 4 with with IN cord-327444-y2464gjh 97 5 fever fever NN cord-327444-y2464gjh 97 6 ( ( -LRB- cord-327444-y2464gjh 97 7 85 85 CD cord-327444-y2464gjh 97 8 % % NN cord-327444-y2464gjh 97 9 ) ) -RRB- cord-327444-y2464gjh 97 10 , , , cord-327444-y2464gjh 97 11 headache headache NN cord-327444-y2464gjh 97 12 ( ( -LRB- cord-327444-y2464gjh 97 13 50 50 CD cord-327444-y2464gjh 97 14 % % NN cord-327444-y2464gjh 97 15 ) ) -RRB- cord-327444-y2464gjh 97 16 , , , cord-327444-y2464gjh 97 17 photophobia photophobia NN cord-327444-y2464gjh 97 18 , , , cord-327444-y2464gjh 97 19 neck neck NN cord-327444-y2464gjh 97 20 stiffness stiffness NN cord-327444-y2464gjh 97 21 ( ( -LRB- cord-327444-y2464gjh 97 22 70 70 CD cord-327444-y2464gjh 97 23 % % NN cord-327444-y2464gjh 97 24 ) ) -RRB- cord-327444-y2464gjh 97 25 and/or and/or CC cord-327444-y2464gjh 97 26 back back JJ cord-327444-y2464gjh 97 27 pain pain NN cord-327444-y2464gjh 97 28 . . . cord-327444-y2464gjh 98 1 Significant significant JJ cord-327444-y2464gjh 98 2 alteration alteration NN cord-327444-y2464gjh 98 3 of of IN cord-327444-y2464gjh 98 4 consciousness consciousness NN cord-327444-y2464gjh 98 5 is be VBZ cord-327444-y2464gjh 98 6 far far RB cord-327444-y2464gjh 98 7 less less RBR cord-327444-y2464gjh 98 8 common common JJ cord-327444-y2464gjh 98 9 than than IN cord-327444-y2464gjh 98 10 in in IN cord-327444-y2464gjh 98 11 bacterial bacterial JJ cord-327444-y2464gjh 98 12 meningitis meningitis NN cord-327444-y2464gjh 98 13 . . . cord-327444-y2464gjh 99 1 Immunocompromised immunocompromise VBN cord-327444-y2464gjh 99 2 patients patient NNS cord-327444-y2464gjh 99 3 may may MD cord-327444-y2464gjh 99 4 have have VB cord-327444-y2464gjh 99 5 even even RB cord-327444-y2464gjh 99 6 more more RBR cord-327444-y2464gjh 99 7 subtle subtle JJ cord-327444-y2464gjh 99 8 exam exam NN cord-327444-y2464gjh 99 9 findings finding NNS cord-327444-y2464gjh 99 10 and and CC cord-327444-y2464gjh 99 11 histories history NNS cord-327444-y2464gjh 99 12 , , , cord-327444-y2464gjh 99 13 and and CC cord-327444-y2464gjh 99 14 there there EX cord-327444-y2464gjh 99 15 should should MD cord-327444-y2464gjh 99 16 be be VB cord-327444-y2464gjh 99 17 a a DT cord-327444-y2464gjh 99 18 low low JJ cord-327444-y2464gjh 99 19 threshold threshold NN cord-327444-y2464gjh 99 20 for for IN cord-327444-y2464gjh 99 21 further further JJ cord-327444-y2464gjh 99 22 investigation investigation NN cord-327444-y2464gjh 99 23 with with IN cord-327444-y2464gjh 99 24 lumbar lumbar JJ cord-327444-y2464gjh 99 25 puncture puncture NN cord-327444-y2464gjh 99 26 in in IN cord-327444-y2464gjh 99 27 these these DT cord-327444-y2464gjh 99 28 cases case NNS cord-327444-y2464gjh 99 29 . . . cord-327444-y2464gjh 100 1 Seizures seizure NNS cord-327444-y2464gjh 100 2 or or CC cord-327444-y2464gjh 100 3 focal focal JJ cord-327444-y2464gjh 100 4 neurological neurological JJ cord-327444-y2464gjh 100 5 signs sign NNS cord-327444-y2464gjh 100 6 are be VBP cord-327444-y2464gjh 100 7 unusual unusual JJ cord-327444-y2464gjh 100 8 although although IN cord-327444-y2464gjh 100 9 cranial cranial JJ cord-327444-y2464gjh 100 10 neuropathies neuropathy NNS cord-327444-y2464gjh 100 11 are be VBP cord-327444-y2464gjh 100 12 seen see VBN cord-327444-y2464gjh 100 13 with with IN cord-327444-y2464gjh 100 14 certain certain JJ cord-327444-y2464gjh 100 15 viruses virus NNS cord-327444-y2464gjh 100 16 like like IN cord-327444-y2464gjh 100 17 VZV VZV NNP cord-327444-y2464gjh 100 18 , , , cord-327444-y2464gjh 100 19 HSV HSV NNP cord-327444-y2464gjh 100 20 , , , cord-327444-y2464gjh 100 21 West West NNP cord-327444-y2464gjh 100 22 Nile Nile NNP cord-327444-y2464gjh 100 23 virus virus NN cord-327444-y2464gjh 100 24 , , , cord-327444-y2464gjh 100 25 and and CC cord-327444-y2464gjh 100 26 HIV HIV NNP cord-327444-y2464gjh 100 27 . . . cord-327444-y2464gjh 101 1 Focal focal JJ cord-327444-y2464gjh 101 2 signs sign NNS cord-327444-y2464gjh 101 3 should should MD cord-327444-y2464gjh 101 4 raise raise VB cord-327444-y2464gjh 101 5 concerns concern NNS cord-327444-y2464gjh 101 6 about about IN cord-327444-y2464gjh 101 7 a a DT cord-327444-y2464gjh 101 8 concomitant concomitant JJ cord-327444-y2464gjh 101 9 viral viral JJ cord-327444-y2464gjh 101 10 encephalitis encephalitis NN cord-327444-y2464gjh 101 11 or or CC cord-327444-y2464gjh 101 12 a a DT cord-327444-y2464gjh 101 13 focus focus NN cord-327444-y2464gjh 101 14 of of IN cord-327444-y2464gjh 101 15 infection infection NN cord-327444-y2464gjh 101 16 , , , cord-327444-y2464gjh 101 17 such such JJ cord-327444-y2464gjh 101 18 as as IN cord-327444-y2464gjh 101 19 a a DT cord-327444-y2464gjh 101 20 brain brain NN cord-327444-y2464gjh 101 21 abscess abscess NN cord-327444-y2464gjh 101 22 . . . cord-327444-y2464gjh 102 1 Patients patient NNS cord-327444-y2464gjh 102 2 are be VBP cord-327444-y2464gjh 102 3 usually usually RB cord-327444-y2464gjh 102 4 uncomfortable uncomfortable JJ cord-327444-y2464gjh 102 5 but but CC cord-327444-y2464gjh 102 6 do do VBP cord-327444-y2464gjh 102 7 not not RB cord-327444-y2464gjh 102 8 appear appear VB cord-327444-y2464gjh 102 9 severely severely RB cord-327444-y2464gjh 102 10 ill ill JJ cord-327444-y2464gjh 102 11 . . . cord-327444-y2464gjh 103 1 Physical physical JJ cord-327444-y2464gjh 103 2 examination examination NN cord-327444-y2464gjh 103 3 may may MD cord-327444-y2464gjh 103 4 reveal reveal VB cord-327444-y2464gjh 103 5 evidence evidence NN cord-327444-y2464gjh 103 6 of of IN cord-327444-y2464gjh 103 7 systemic systemic JJ cord-327444-y2464gjh 103 8 illness illness NN cord-327444-y2464gjh 103 9 , , , cord-327444-y2464gjh 103 10 including include VBG cord-327444-y2464gjh 103 11 rash rash JJ cord-327444-y2464gjh 103 12 , , , cord-327444-y2464gjh 103 13 lymphadenopathy lymphadenopathy JJ cord-327444-y2464gjh 103 14 , , , cord-327444-y2464gjh 103 15 pharyngitis pharyngitis NN cord-327444-y2464gjh 103 16 , , , cord-327444-y2464gjh 103 17 or or CC cord-327444-y2464gjh 103 18 splenomegaly splenomegaly NN cord-327444-y2464gjh 103 19 , , , cord-327444-y2464gjh 103 20 depending depend VBG cord-327444-y2464gjh 103 21 on on IN cord-327444-y2464gjh 103 22 the the DT cord-327444-y2464gjh 103 23 infectious infectious JJ cord-327444-y2464gjh 103 24 agent agent NN cord-327444-y2464gjh 103 25 . . . cord-327444-y2464gjh 104 1 Neurological neurological JJ cord-327444-y2464gjh 104 2 examination examination NN cord-327444-y2464gjh 104 3 commonly commonly RB cord-327444-y2464gjh 104 4 reveals reveal VBZ cord-327444-y2464gjh 104 5 nuchal nuchal NN cord-327444-y2464gjh 104 6 rigidity rigidity NN cord-327444-y2464gjh 104 7 with with IN cord-327444-y2464gjh 104 8 the the DT cord-327444-y2464gjh 104 9 patient patient NN cord-327444-y2464gjh 104 10 unable unable JJ cord-327444-y2464gjh 104 11 to to TO cord-327444-y2464gjh 104 12 touch touch VB cord-327444-y2464gjh 104 13 chin chin NN cord-327444-y2464gjh 104 14 to to IN cord-327444-y2464gjh 104 15 chest chest NN cord-327444-y2464gjh 104 16 . . . cord-327444-y2464gjh 105 1 Resistance resistance NN cord-327444-y2464gjh 105 2 to to IN cord-327444-y2464gjh 105 3 passive passive JJ cord-327444-y2464gjh 105 4 neck neck NN cord-327444-y2464gjh 105 5 flexion flexion NN cord-327444-y2464gjh 105 6 and and CC cord-327444-y2464gjh 106 1 Kernig Kernig NNP cord-327444-y2464gjh 106 2 's 's POS cord-327444-y2464gjh 106 3 and/or and/or CC cord-327444-y2464gjh 106 4 Brudzinski Brudzinski NNP cord-327444-y2464gjh 106 5 's 's POS cord-327444-y2464gjh 106 6 signs sign NNS cord-327444-y2464gjh 106 7 may may MD cord-327444-y2464gjh 106 8 be be VB cord-327444-y2464gjh 106 9 present present JJ cord-327444-y2464gjh 106 10 but but CC cord-327444-y2464gjh 106 11 are be VBP cord-327444-y2464gjh 106 12 inconsistent inconsistent JJ cord-327444-y2464gjh 106 13 . . . cord-327444-y2464gjh 107 1 Both both DT cord-327444-y2464gjh 107 2 signs sign NNS cord-327444-y2464gjh 107 3 may may MD cord-327444-y2464gjh 107 4 be be VB cord-327444-y2464gjh 107 5 absent absent JJ cord-327444-y2464gjh 107 6 in in IN cord-327444-y2464gjh 107 7 milder mild JJR cord-327444-y2464gjh 107 8 cases case NNS cord-327444-y2464gjh 107 9 . . . cord-327444-y2464gjh 108 1 A a DT cord-327444-y2464gjh 108 2 useful useful JJ cord-327444-y2464gjh 108 3 test test NN cord-327444-y2464gjh 108 4 of of IN cord-327444-y2464gjh 108 5 nuchal nuchal NN cord-327444-y2464gjh 108 6 rigidity rigidity NN cord-327444-y2464gjh 108 7 is be VBZ cord-327444-y2464gjh 108 8 to to TO cord-327444-y2464gjh 108 9 ask ask VB cord-327444-y2464gjh 108 10 the the DT cord-327444-y2464gjh 108 11 patient patient NN cord-327444-y2464gjh 108 12 to to TO cord-327444-y2464gjh 108 13 touch touch VB cord-327444-y2464gjh 108 14 forehead forehead NN cord-327444-y2464gjh 108 15 to to IN cord-327444-y2464gjh 108 16 knee knee NN cord-327444-y2464gjh 108 17 ; ; : cord-327444-y2464gjh 108 18 this this DT cord-327444-y2464gjh 108 19 will will MD cord-327444-y2464gjh 108 20 often often RB cord-327444-y2464gjh 108 21 be be VB cord-327444-y2464gjh 108 22 positive positive JJ cord-327444-y2464gjh 108 23 when when WRB cord-327444-y2464gjh 108 24 all all DT cord-327444-y2464gjh 108 25 other other JJ cord-327444-y2464gjh 108 26 tests test NNS cord-327444-y2464gjh 108 27 of of IN cord-327444-y2464gjh 108 28 meningeal meningeal JJ cord-327444-y2464gjh 108 29 irritation irritation NN cord-327444-y2464gjh 108 30 are be VBP cord-327444-y2464gjh 108 31 questionable questionable JJ cord-327444-y2464gjh 108 32 or or CC cord-327444-y2464gjh 108 33 absent absent JJ cord-327444-y2464gjh 108 34 . . . cord-327444-y2464gjh 109 1 Papilledema Papilledema NNP cord-327444-y2464gjh 109 2 is be VBZ cord-327444-y2464gjh 109 3 rare rare JJ cord-327444-y2464gjh 109 4 . . . cord-327444-y2464gjh 110 1 Routine routine JJ cord-327444-y2464gjh 110 2 blood blood NN cord-327444-y2464gjh 110 3 studies study NNS cord-327444-y2464gjh 110 4 may may MD cord-327444-y2464gjh 110 5 reveal reveal VB cord-327444-y2464gjh 110 6 a a DT cord-327444-y2464gjh 110 7 lymphocytic lymphocytic JJ cord-327444-y2464gjh 110 8 leukocytosis leukocytosis NN cord-327444-y2464gjh 110 9 . . . cord-327444-y2464gjh 111 1 Liver liver NN cord-327444-y2464gjh 111 2 function function NN cord-327444-y2464gjh 111 3 tests test NNS cord-327444-y2464gjh 111 4 may may MD cord-327444-y2464gjh 111 5 be be VB cord-327444-y2464gjh 111 6 elevated elevate VBN cord-327444-y2464gjh 111 7 if if IN cord-327444-y2464gjh 111 8 there there EX cord-327444-y2464gjh 111 9 is be VBZ cord-327444-y2464gjh 111 10 hepatic hepatic JJ cord-327444-y2464gjh 111 11 involvement involvement NN cord-327444-y2464gjh 111 12 . . . cord-327444-y2464gjh 112 1 The the DT cord-327444-y2464gjh 112 2 most most RBS cord-327444-y2464gjh 112 3 important important JJ cord-327444-y2464gjh 112 4 diagnostic diagnostic JJ cord-327444-y2464gjh 112 5 test test NN cord-327444-y2464gjh 112 6 in in IN cord-327444-y2464gjh 112 7 viral viral JJ cord-327444-y2464gjh 112 8 meningitis meningitis NN cord-327444-y2464gjh 112 9 is be VBZ cord-327444-y2464gjh 112 10 the the DT cord-327444-y2464gjh 112 11 lumbar lumbar JJ cord-327444-y2464gjh 112 12 puncture puncture NN cord-327444-y2464gjh 112 13 . . . cord-327444-y2464gjh 113 1 This this DT cord-327444-y2464gjh 113 2 should should MD cord-327444-y2464gjh 113 3 be be VB cord-327444-y2464gjh 113 4 preceded precede VBN cord-327444-y2464gjh 113 5 by by IN cord-327444-y2464gjh 113 6 head head NN cord-327444-y2464gjh 113 7 magnetic magnetic JJ cord-327444-y2464gjh 113 8 resonance resonance NN cord-327444-y2464gjh 113 9 imaging imaging NN cord-327444-y2464gjh 113 10 ( ( -LRB- cord-327444-y2464gjh 113 11 MRI MRI NNP cord-327444-y2464gjh 113 12 ) ) -RRB- cord-327444-y2464gjh 113 13 or or CC cord-327444-y2464gjh 113 14 , , , cord-327444-y2464gjh 113 15 less less RBR cord-327444-y2464gjh 113 16 optimally optimally RB cord-327444-y2464gjh 113 17 , , , cord-327444-y2464gjh 113 18 computed compute VBN cord-327444-y2464gjh 113 19 tomography tomography NN cord-327444-y2464gjh 113 20 if if IN cord-327444-y2464gjh 113 21 focal focal JJ cord-327444-y2464gjh 113 22 signs sign NNS cord-327444-y2464gjh 113 23 are be VBP cord-327444-y2464gjh 113 24 present present JJ cord-327444-y2464gjh 113 25 , , , cord-327444-y2464gjh 113 26 there there EX cord-327444-y2464gjh 113 27 is be VBZ cord-327444-y2464gjh 113 28 significant significant JJ cord-327444-y2464gjh 113 29 altered alter VBN cord-327444-y2464gjh 113 30 mental mental JJ cord-327444-y2464gjh 113 31 status status NN cord-327444-y2464gjh 113 32 , , , cord-327444-y2464gjh 113 33 or or CC cord-327444-y2464gjh 113 34 if if IN cord-327444-y2464gjh 113 35 there there EX cord-327444-y2464gjh 113 36 is be VBZ cord-327444-y2464gjh 113 37 any any DT cord-327444-y2464gjh 113 38 suspicion suspicion NN cord-327444-y2464gjh 113 39 of of IN cord-327444-y2464gjh 113 40 increased increase VBN cord-327444-y2464gjh 113 41 intracranial intracranial JJ cord-327444-y2464gjh 113 42 pressure pressure NN cord-327444-y2464gjh 113 43 . . . cord-327444-y2464gjh 114 1 Spinal spinal JJ cord-327444-y2464gjh 114 2 fluid fluid NN cord-327444-y2464gjh 114 3 will will MD cord-327444-y2464gjh 114 4 usually usually RB cord-327444-y2464gjh 114 5 show show VB cord-327444-y2464gjh 114 6 mildly mildly RB cord-327444-y2464gjh 114 7 elevated elevate VBN cord-327444-y2464gjh 114 8 opening opening NN cord-327444-y2464gjh 114 9 pressure pressure NN cord-327444-y2464gjh 114 10 , , , cord-327444-y2464gjh 114 11 lymphocytic lymphocytic JJ cord-327444-y2464gjh 114 12 pleocytosis pleocytosis NNP cord-327444-y2464gjh 114 13 , , , cord-327444-y2464gjh 114 14 elevated elevated JJ cord-327444-y2464gjh 114 15 protein protein NN cord-327444-y2464gjh 114 16 , , , cord-327444-y2464gjh 114 17 and and CC cord-327444-y2464gjh 114 18 normal normal JJ cord-327444-y2464gjh 114 19 glucose glucose NN cord-327444-y2464gjh 114 20 ( ( -LRB- cord-327444-y2464gjh 114 21 Table Table NNP cord-327444-y2464gjh 114 22 3 3 CD cord-327444-y2464gjh 114 23 ) ) -RRB- cord-327444-y2464gjh 114 24 . . . cord-327444-y2464gjh 115 1 The the DT cord-327444-y2464gjh 115 2 cell cell NN cord-327444-y2464gjh 115 3 count count NN cord-327444-y2464gjh 115 4 is be VBZ cord-327444-y2464gjh 115 5 usually usually RB cord-327444-y2464gjh 115 6 less less JJR cord-327444-y2464gjh 115 7 than than IN cord-327444-y2464gjh 115 8 300 300 CD cord-327444-y2464gjh 115 9 cells cell NNS cord-327444-y2464gjh 115 10 / / SYM cord-327444-y2464gjh 115 11 mm mm NN cord-327444-y2464gjh 115 12 3 3 CD cord-327444-y2464gjh 115 13 . . . cord-327444-y2464gjh 116 1 Protein protein NN cord-327444-y2464gjh 116 2 is be VBZ cord-327444-y2464gjh 116 3 usually usually RB cord-327444-y2464gjh 116 4 in in IN cord-327444-y2464gjh 116 5 the the DT cord-327444-y2464gjh 116 6 range range NN cord-327444-y2464gjh 116 7 of of IN cord-327444-y2464gjh 116 8 50 50 CD cord-327444-y2464gjh 116 9 - - SYM cord-327444-y2464gjh 116 10 100 100 CD cord-327444-y2464gjh 116 11 mg mg NNP cord-327444-y2464gjh 116 12 / / SYM cord-327444-y2464gjh 116 13 dl dl NN cord-327444-y2464gjh 116 14 . . . cord-327444-y2464gjh 117 1 Exceptions exception NNS cord-327444-y2464gjh 117 2 exist exist VBP cord-327444-y2464gjh 117 3 to to IN cord-327444-y2464gjh 117 4 this this DT cord-327444-y2464gjh 117 5 CSF CSF NNP cord-327444-y2464gjh 117 6 formula formula NN cord-327444-y2464gjh 117 7 , , , cord-327444-y2464gjh 117 8 however however RB cord-327444-y2464gjh 117 9 . . . cord-327444-y2464gjh 118 1 Cell cell NN cord-327444-y2464gjh 118 2 count count NN cord-327444-y2464gjh 118 3 may may MD cord-327444-y2464gjh 118 4 be be VB cord-327444-y2464gjh 118 5 as as RB cord-327444-y2464gjh 118 6 high high JJ cord-327444-y2464gjh 118 7 as as IN cord-327444-y2464gjh 118 8 1000 1000 CD cord-327444-y2464gjh 118 9 cells cell NNS cord-327444-y2464gjh 118 10 / / SYM cord-327444-y2464gjh 118 11 mm mm NN cord-327444-y2464gjh 118 12 3 3 CD cord-327444-y2464gjh 118 13 . . . cord-327444-y2464gjh 119 1 During during IN cord-327444-y2464gjh 119 2 the the DT cord-327444-y2464gjh 119 3 first first JJ cord-327444-y2464gjh 119 4 24 24 CD cord-327444-y2464gjh 119 5 - - SYM cord-327444-y2464gjh 119 6 48 48 CD cord-327444-y2464gjh 119 7 h h NN cord-327444-y2464gjh 119 8 of of IN cord-327444-y2464gjh 119 9 infection infection NN cord-327444-y2464gjh 119 10 , , , cord-327444-y2464gjh 119 11 CSF CSF NNP cord-327444-y2464gjh 119 12 may may MD cord-327444-y2464gjh 119 13 contain contain VB cord-327444-y2464gjh 119 14 a a DT cord-327444-y2464gjh 119 15 mixture mixture NN cord-327444-y2464gjh 119 16 of of IN cord-327444-y2464gjh 119 17 polymorphonuclear polymorphonuclear JJ cord-327444-y2464gjh 119 18 leukocytes leukocyte NNS cord-327444-y2464gjh 119 19 and and CC cord-327444-y2464gjh 119 20 lymphocytes lymphocyte NNS cord-327444-y2464gjh 119 21 with with IN cord-327444-y2464gjh 119 22 even even RB cord-327444-y2464gjh 119 23 a a DT cord-327444-y2464gjh 119 24 polymorphonuclear polymorphonuclear JJ cord-327444-y2464gjh 119 25 predominance predominance NN cord-327444-y2464gjh 119 26 early early RB cord-327444-y2464gjh 119 27 in in IN cord-327444-y2464gjh 119 28 infections infection NNS cord-327444-y2464gjh 119 29 with with IN cord-327444-y2464gjh 119 30 West West NNP cord-327444-y2464gjh 119 31 Nile Nile NNP cord-327444-y2464gjh 119 32 virus virus NN cord-327444-y2464gjh 119 33 , , , cord-327444-y2464gjh 119 34 HSV HSV NNP cord-327444-y2464gjh 119 35 , , , cord-327444-y2464gjh 119 36 and and CC cord-327444-y2464gjh 119 37 VZV VZV NNP cord-327444-y2464gjh 119 38 . . . cord-327444-y2464gjh 120 1 Glucose glucose NN cord-327444-y2464gjh 120 2 concentrations concentration NNS cord-327444-y2464gjh 120 3 , , , cord-327444-y2464gjh 120 4 although although IN cord-327444-y2464gjh 120 5 usually usually RB cord-327444-y2464gjh 120 6 450 450 CD cord-327444-y2464gjh 120 7 % % NN cord-327444-y2464gjh 120 8 of of IN cord-327444-y2464gjh 120 9 blood blood NN cord-327444-y2464gjh 120 10 values value NNS cord-327444-y2464gjh 120 11 , , , cord-327444-y2464gjh 120 12 may may MD cord-327444-y2464gjh 120 13 be be VB cord-327444-y2464gjh 120 14 significantly significantly RB cord-327444-y2464gjh 120 15 depressed depressed JJ cord-327444-y2464gjh 120 16 : : : cord-327444-y2464gjh 120 17 This this DT cord-327444-y2464gjh 120 18 has have VBZ cord-327444-y2464gjh 120 19 been be VBN cord-327444-y2464gjh 120 20 reported report VBN cord-327444-y2464gjh 120 21 with with IN cord-327444-y2464gjh 120 22 meningitis meningitis NN cord-327444-y2464gjh 120 23 due due IN cord-327444-y2464gjh 120 24 to to IN cord-327444-y2464gjh 120 25 herpes herpes NN cord-327444-y2464gjh 120 26 zoster zoster NN cord-327444-y2464gjh 120 27 , , , cord-327444-y2464gjh 120 28 mumps mumps NN cord-327444-y2464gjh 120 29 , , , cord-327444-y2464gjh 120 30 and and CC cord-327444-y2464gjh 120 31 LCMV LCMV NNP cord-327444-y2464gjh 120 32 . . . cord-327444-y2464gjh 121 1 Return return NN cord-327444-y2464gjh 121 2 of of IN cord-327444-y2464gjh 121 3 CSF csf NN cord-327444-y2464gjh 121 4 parameters parameter NNS cord-327444-y2464gjh 121 5 to to IN cord-327444-y2464gjh 121 6 normal normal JJ cord-327444-y2464gjh 121 7 may may MD cord-327444-y2464gjh 121 8 be be VB cord-327444-y2464gjh 121 9 extremely extremely RB cord-327444-y2464gjh 121 10 prolonged prolong VBN cord-327444-y2464gjh 121 11 following follow VBG cord-327444-y2464gjh 121 12 viral viral JJ cord-327444-y2464gjh 121 13 meningitis meningitis NN cord-327444-y2464gjh 121 14 , , , cord-327444-y2464gjh 121 15 and and CC cord-327444-y2464gjh 121 16 isolated isolated JJ cord-327444-y2464gjh 121 17 reports report NNS cord-327444-y2464gjh 121 18 have have VBP cord-327444-y2464gjh 121 19 described describe VBN cord-327444-y2464gjh 121 20 persistent persistent JJ cord-327444-y2464gjh 121 21 CSF CSF NNP cord-327444-y2464gjh 121 22 pleocytosis pleocytosis NNP cord-327444-y2464gjh 121 23 and and CC cord-327444-y2464gjh 121 24 elevated elevated JJ cord-327444-y2464gjh 121 25 protein protein NN cord-327444-y2464gjh 121 26 over over IN cord-327444-y2464gjh 121 27 periods period NNS cord-327444-y2464gjh 121 28 of of IN cord-327444-y2464gjh 121 29 weeks week NNS cord-327444-y2464gjh 121 30 to to IN cord-327444-y2464gjh 121 31 months month NNS cord-327444-y2464gjh 121 32 . . . cord-327444-y2464gjh 122 1 Before before IN cord-327444-y2464gjh 122 2 the the DT cord-327444-y2464gjh 122 3 advent advent NN cord-327444-y2464gjh 122 4 of of IN cord-327444-y2464gjh 122 5 PCR PCR NNP cord-327444-y2464gjh 122 6 , , , cord-327444-y2464gjh 122 7 diagnosis diagnosis NN cord-327444-y2464gjh 122 8 of of IN cord-327444-y2464gjh 122 9 viral viral JJ cord-327444-y2464gjh 122 10 meningitis meningitis NN cord-327444-y2464gjh 122 11 was be VBD cord-327444-y2464gjh 122 12 difficult difficult JJ cord-327444-y2464gjh 122 13 and and CC cord-327444-y2464gjh 122 14 often often RB cord-327444-y2464gjh 122 15 an an DT cord-327444-y2464gjh 122 16 exercise exercise NN cord-327444-y2464gjh 122 17 in in IN cord-327444-y2464gjh 122 18 futility futility NN cord-327444-y2464gjh 122 19 : : : cord-327444-y2464gjh 122 20 viruses virus NNS cord-327444-y2464gjh 122 21 may may MD cord-327444-y2464gjh 122 22 take take VB cord-327444-y2464gjh 122 23 considerable considerable JJ cord-327444-y2464gjh 122 24 time time NN cord-327444-y2464gjh 122 25 to to TO cord-327444-y2464gjh 122 26 grow grow VB cord-327444-y2464gjh 122 27 in in IN cord-327444-y2464gjh 122 28 culture culture NN cord-327444-y2464gjh 122 29 , , , cord-327444-y2464gjh 122 30 and and CC cord-327444-y2464gjh 122 31 many many JJ cord-327444-y2464gjh 122 32 viral viral JJ cord-327444-y2464gjh 122 33 agents agent NNS cord-327444-y2464gjh 122 34 can can MD cord-327444-y2464gjh 122 35 not not RB cord-327444-y2464gjh 122 36 be be VB cord-327444-y2464gjh 122 37 readily readily RB cord-327444-y2464gjh 122 38 grown grow VBN cord-327444-y2464gjh 122 39 from from IN cord-327444-y2464gjh 122 40 CSF CSF NNP cord-327444-y2464gjh 122 41 . . . cord-327444-y2464gjh 123 1 Viral viral JJ cord-327444-y2464gjh 123 2 serologies serology NNS cord-327444-y2464gjh 123 3 comparing compare VBG cord-327444-y2464gjh 123 4 acute acute JJ cord-327444-y2464gjh 123 5 and and CC cord-327444-y2464gjh 123 6 convalescent convalescent JJ cord-327444-y2464gjh 123 7 sera sera NNP cord-327444-y2464gjh 123 8 have have VBP cord-327444-y2464gjh 123 9 been be VBN cord-327444-y2464gjh 123 10 used use VBN cord-327444-y2464gjh 123 11 for for IN cord-327444-y2464gjh 123 12 retrospective retrospective JJ cord-327444-y2464gjh 123 13 diagnosis diagnosis NN cord-327444-y2464gjh 123 14 , , , cord-327444-y2464gjh 123 15 and and CC cord-327444-y2464gjh 123 16 serological serological JJ cord-327444-y2464gjh 123 17 diagnosis diagnosis NN cord-327444-y2464gjh 123 18 can can MD cord-327444-y2464gjh 123 19 be be VB cord-327444-y2464gjh 123 20 accelerated accelerate VBN cord-327444-y2464gjh 123 21 by by IN cord-327444-y2464gjh 123 22 comparing compare VBG cord-327444-y2464gjh 123 23 serum serum NN cord-327444-y2464gjh 123 24 and and CC cord-327444-y2464gjh 123 25 CSF CSF NNP cord-327444-y2464gjh 123 26 antibody antibody NN cord-327444-y2464gjh 123 27 titers titer NNS cord-327444-y2464gjh 123 28 to to TO cord-327444-y2464gjh 123 29 identify identify VB cord-327444-y2464gjh 123 30 the the DT cord-327444-y2464gjh 123 31 synthesis synthesis NN cord-327444-y2464gjh 123 32 of of IN cord-327444-y2464gjh 123 33 specific specific JJ cord-327444-y2464gjh 123 34 antiviral antiviral JJ cord-327444-y2464gjh 123 35 antibodies antibody NNS cord-327444-y2464gjh 123 36 within within IN cord-327444-y2464gjh 123 37 the the DT cord-327444-y2464gjh 123 38 CNS CNS NNP cord-327444-y2464gjh 123 39 ; ; : cord-327444-y2464gjh 123 40 however however RB cord-327444-y2464gjh 123 41 , , , cord-327444-y2464gjh 123 42 serological serological JJ cord-327444-y2464gjh 123 43 tests test NNS cord-327444-y2464gjh 123 44 only only RB cord-327444-y2464gjh 123 45 rarely rarely RB cord-327444-y2464gjh 123 46 allow allow VBP cord-327444-y2464gjh 123 47 rapid rapid JJ cord-327444-y2464gjh 123 48 enough enough JJ cord-327444-y2464gjh 123 49 diagnosis diagnosis NN cord-327444-y2464gjh 123 50 to to IN cord-327444-y2464gjh 123 51 direct direct JJ cord-327444-y2464gjh 123 52 therapy therapy NN cord-327444-y2464gjh 123 53 . . . cord-327444-y2464gjh 124 1 The the DT cord-327444-y2464gjh 124 2 advent advent NN cord-327444-y2464gjh 124 3 of of IN cord-327444-y2464gjh 124 4 PCR PCR NNP cord-327444-y2464gjh 124 5 methods method NNS cord-327444-y2464gjh 124 6 has have VBZ cord-327444-y2464gjh 124 7 revolutionized revolutionize VBN cord-327444-y2464gjh 124 8 the the DT cord-327444-y2464gjh 124 9 diagnosis diagnosis NN cord-327444-y2464gjh 124 10 of of IN cord-327444-y2464gjh 124 11 both both CC cord-327444-y2464gjh 124 12 meningitis meningitis NN cord-327444-y2464gjh 124 13 and and CC cord-327444-y2464gjh 124 14 encephalitis encephalitis NN cord-327444-y2464gjh 124 15 . . . cord-327444-y2464gjh 125 1 PCR PCR NNP cord-327444-y2464gjh 125 2 for for IN cord-327444-y2464gjh 125 3 enteroviruses enterovirus NNS cord-327444-y2464gjh 125 4 , , , cord-327444-y2464gjh 125 5 HSV-1 hsv-1 NN cord-327444-y2464gjh 125 6 , , , cord-327444-y2464gjh 125 7 HSV-2 HSV-2 NNP cord-327444-y2464gjh 125 8 , , , cord-327444-y2464gjh 125 9 VZV VZV NNP cord-327444-y2464gjh 125 10 , , , cord-327444-y2464gjh 125 11 and and CC cord-327444-y2464gjh 125 12 CMV CMV NNP cord-327444-y2464gjh 125 13 are be VBP cord-327444-y2464gjh 125 14 readily readily RB cord-327444-y2464gjh 125 15 available available JJ cord-327444-y2464gjh 125 16 in in IN cord-327444-y2464gjh 125 17 many many JJ cord-327444-y2464gjh 125 18 laboratories laboratory NNS cord-327444-y2464gjh 125 19 , , , cord-327444-y2464gjh 125 20 and and CC cord-327444-y2464gjh 125 21 PCR PCR NNP cord-327444-y2464gjh 125 22 diagnosis diagnosis NN cord-327444-y2464gjh 125 23 of of IN cord-327444-y2464gjh 125 24 other other JJ cord-327444-y2464gjh 125 25 agents agent NNS cord-327444-y2464gjh 125 26 is be VBZ cord-327444-y2464gjh 125 27 often often RB cord-327444-y2464gjh 125 28 available available JJ cord-327444-y2464gjh 125 29 through through IN cord-327444-y2464gjh 125 30 larger large JJR cord-327444-y2464gjh 125 31 commercial commercial JJ cord-327444-y2464gjh 125 32 laboratories laboratory NNS cord-327444-y2464gjh 125 33 or or CC cord-327444-y2464gjh 125 34 the the DT cord-327444-y2464gjh 125 35 Centers Centers NNPS cord-327444-y2464gjh 125 36 for for IN cord-327444-y2464gjh 125 37 Disease Disease NNP cord-327444-y2464gjh 125 38 Control Control NNP cord-327444-y2464gjh 125 39 . . . cord-327444-y2464gjh 126 1 Although although IN cord-327444-y2464gjh 126 2 PCR PCR NNP cord-327444-y2464gjh 126 3 is be VBZ cord-327444-y2464gjh 126 4 highly highly RB cord-327444-y2464gjh 126 5 specific specific JJ cord-327444-y2464gjh 126 6 , , , cord-327444-y2464gjh 126 7 it -PRON- PRP cord-327444-y2464gjh 126 8 has have VBZ cord-327444-y2464gjh 126 9 limited limit VBN cord-327444-y2464gjh 126 10 sensitivity sensitivity NN cord-327444-y2464gjh 126 11 in in IN cord-327444-y2464gjh 126 12 certain certain JJ cord-327444-y2464gjh 126 13 circumstances circumstance NNS cord-327444-y2464gjh 126 14 . . . cord-327444-y2464gjh 127 1 It -PRON- PRP cord-327444-y2464gjh 127 2 is be VBZ cord-327444-y2464gjh 127 3 relatively relatively RB cord-327444-y2464gjh 127 4 insensitive insensitive JJ cord-327444-y2464gjh 127 5 in in IN cord-327444-y2464gjh 127 6 the the DT cord-327444-y2464gjh 127 7 first first JJ cord-327444-y2464gjh 127 8 3 3 CD cord-327444-y2464gjh 127 9 days day NNS cord-327444-y2464gjh 127 10 of of IN cord-327444-y2464gjh 127 11 infection infection NN cord-327444-y2464gjh 127 12 with with IN cord-327444-y2464gjh 127 13 HSV HSV NNP cord-327444-y2464gjh 127 14 as as RB cord-327444-y2464gjh 127 15 well well RB cord-327444-y2464gjh 127 16 as as IN cord-327444-y2464gjh 127 17 after after IN cord-327444-y2464gjh 127 18 day day NN cord-327444-y2464gjh 127 19 10 10 CD cord-327444-y2464gjh 127 20 of of IN cord-327444-y2464gjh 127 21 infection infection NN cord-327444-y2464gjh 127 22 . . . cord-327444-y2464gjh 128 1 The the DT cord-327444-y2464gjh 128 2 overall overall JJ cord-327444-y2464gjh 128 3 sensitivity sensitivity NN cord-327444-y2464gjh 128 4 of of IN cord-327444-y2464gjh 128 5 PCR PCR NNP cord-327444-y2464gjh 128 6 for for IN cord-327444-y2464gjh 128 7 VZV VZV NNP cord-327444-y2464gjh 128 8 is be VBZ cord-327444-y2464gjh 128 9 60 60 CD cord-327444-y2464gjh 128 10 % % NN cord-327444-y2464gjh 128 11 ; ; : cord-327444-y2464gjh 128 12 if if IN cord-327444-y2464gjh 128 13 VZV VZV NNP cord-327444-y2464gjh 128 14 is be VBZ cord-327444-y2464gjh 128 15 suspected suspect VBN cord-327444-y2464gjh 128 16 , , , cord-327444-y2464gjh 128 17 immunoglobulin immunoglobulin NN cord-327444-y2464gjh 128 18 G G NNP cord-327444-y2464gjh 128 19 ( ( -LRB- cord-327444-y2464gjh 128 20 IgG IgG NNP cord-327444-y2464gjh 128 21 ) ) -RRB- cord-327444-y2464gjh 128 22 and and CC cord-327444-y2464gjh 128 23 immunoglobulin immunoglobulin NNP cord-327444-y2464gjh 128 24 M M NNP cord-327444-y2464gjh 128 25 ( ( -LRB- cord-327444-y2464gjh 128 26 IgM IgM NNP cord-327444-y2464gjh 128 27 ) ) -RRB- cord-327444-y2464gjh 128 28 antibodies antibody NNS cord-327444-y2464gjh 128 29 should should MD cord-327444-y2464gjh 128 30 always always RB cord-327444-y2464gjh 128 31 be be VB cord-327444-y2464gjh 128 32 sent send VBN cord-327444-y2464gjh 128 33 from from IN cord-327444-y2464gjh 128 34 the the DT cord-327444-y2464gjh 128 35 CSF CSF NNP cord-327444-y2464gjh 128 36 as as RB cord-327444-y2464gjh 128 37 well well RB cord-327444-y2464gjh 128 38 . . . cord-327444-y2464gjh 129 1 In in IN cord-327444-y2464gjh 129 2 the the DT cord-327444-y2464gjh 129 3 case case NN cord-327444-y2464gjh 129 4 of of IN cord-327444-y2464gjh 129 5 HIV HIV NNP cord-327444-y2464gjh 129 6 , , , cord-327444-y2464gjh 129 7 RT RT NNP cord-327444-y2464gjh 129 8 - - HYPH cord-327444-y2464gjh 129 9 PCR PCR NNP cord-327444-y2464gjh 129 10 methods method NNS cord-327444-y2464gjh 129 11 are be VBP cord-327444-y2464gjh 129 12 available available JJ cord-327444-y2464gjh 129 13 not not RB cord-327444-y2464gjh 129 14 only only RB cord-327444-y2464gjh 129 15 for for IN cord-327444-y2464gjh 129 16 diagnosis diagnosis NN cord-327444-y2464gjh 129 17 but but CC cord-327444-y2464gjh 129 18 also also RB cord-327444-y2464gjh 129 19 for for IN cord-327444-y2464gjh 129 20 determining determine VBG cord-327444-y2464gjh 129 21 viral viral JJ cord-327444-y2464gjh 129 22 load load NN cord-327444-y2464gjh 129 23 and and CC cord-327444-y2464gjh 129 24 resistance resistance NN cord-327444-y2464gjh 129 25 mutations mutation NNS cord-327444-y2464gjh 129 26 . . . cord-327444-y2464gjh 130 1 Even even RB cord-327444-y2464gjh 130 2 with with IN cord-327444-y2464gjh 130 3 the the DT cord-327444-y2464gjh 130 4 use use NN cord-327444-y2464gjh 130 5 of of IN cord-327444-y2464gjh 130 6 PCR PCR NNP cord-327444-y2464gjh 130 7 , , , cord-327444-y2464gjh 130 8 the the DT cord-327444-y2464gjh 130 9 causative causative JJ cord-327444-y2464gjh 130 10 agents agent NNS cord-327444-y2464gjh 130 11 in in IN cord-327444-y2464gjh 130 12 many many JJ cord-327444-y2464gjh 130 13 cases case NNS cord-327444-y2464gjh 130 14 of of IN cord-327444-y2464gjh 130 15 viral viral JJ cord-327444-y2464gjh 130 16 meningitis meningitis NN cord-327444-y2464gjh 130 17 remain remain VBP cord-327444-y2464gjh 130 18 undiagnosed undiagnosed JJ cord-327444-y2464gjh 130 19 . . . cord-327444-y2464gjh 131 1 Viral viral JJ cord-327444-y2464gjh 131 2 meningitis meningitis NN cord-327444-y2464gjh 131 3 should should MD cord-327444-y2464gjh 131 4 be be VB cord-327444-y2464gjh 131 5 considered consider VBN cord-327444-y2464gjh 131 6 in in IN cord-327444-y2464gjh 131 7 the the DT cord-327444-y2464gjh 131 8 differential differential JJ cord-327444-y2464gjh 131 9 diagnosis diagnosis NN cord-327444-y2464gjh 131 10 of of IN cord-327444-y2464gjh 131 11 any any DT cord-327444-y2464gjh 131 12 patient patient NN cord-327444-y2464gjh 131 13 presenting present VBG cord-327444-y2464gjh 131 14 with with IN cord-327444-y2464gjh 131 15 headache headache NN cord-327444-y2464gjh 131 16 , , , cord-327444-y2464gjh 131 17 photophobia photophobia NN cord-327444-y2464gjh 131 18 , , , cord-327444-y2464gjh 131 19 and and CC cord-327444-y2464gjh 131 20 neck neck NN cord-327444-y2464gjh 131 21 stiffness stiffness NN cord-327444-y2464gjh 131 22 . . . cord-327444-y2464gjh 132 1 However however RB cord-327444-y2464gjh 132 2 , , , cord-327444-y2464gjh 132 3 the the DT cord-327444-y2464gjh 132 4 presence presence NN cord-327444-y2464gjh 132 5 of of IN cord-327444-y2464gjh 132 6 these these DT cord-327444-y2464gjh 132 7 findings finding NNS cord-327444-y2464gjh 132 8 also also RB cord-327444-y2464gjh 132 9 makes make VBZ cord-327444-y2464gjh 132 10 it -PRON- PRP cord-327444-y2464gjh 132 11 mandatory mandatory JJ cord-327444-y2464gjh 132 12 to to TO cord-327444-y2464gjh 132 13 exclude exclude VB cord-327444-y2464gjh 132 14 bacterial bacterial JJ cord-327444-y2464gjh 132 15 infection infection NN cord-327444-y2464gjh 132 16 . . . cord-327444-y2464gjh 133 1 Although although IN cord-327444-y2464gjh 133 2 patients patient NNS cord-327444-y2464gjh 133 3 with with IN cord-327444-y2464gjh 133 4 viral viral JJ cord-327444-y2464gjh 133 5 meningitis meningitis NN cord-327444-y2464gjh 133 6 are be VBP cord-327444-y2464gjh 133 7 less less RBR cord-327444-y2464gjh 133 8 severely severely RB cord-327444-y2464gjh 133 9 ill ill JJ cord-327444-y2464gjh 133 10 , , , cord-327444-y2464gjh 133 11 bacterial bacterial JJ cord-327444-y2464gjh 133 12 meningitis meningitis NN cord-327444-y2464gjh 133 13 may may MD cord-327444-y2464gjh 133 14 also also RB cord-327444-y2464gjh 133 15 appear appear VB cord-327444-y2464gjh 133 16 mild mild JJ cord-327444-y2464gjh 133 17 in in IN cord-327444-y2464gjh 133 18 its -PRON- PRP$ cord-327444-y2464gjh 133 19 early early JJ cord-327444-y2464gjh 133 20 stages stage NNS cord-327444-y2464gjh 133 21 . . . cord-327444-y2464gjh 134 1 Conversely conversely RB cord-327444-y2464gjh 134 2 , , , cord-327444-y2464gjh 134 3 patients patient NNS cord-327444-y2464gjh 134 4 with with IN cord-327444-y2464gjh 134 5 viral viral JJ cord-327444-y2464gjh 134 6 meningitis meningitis NN cord-327444-y2464gjh 134 7 may may MD cord-327444-y2464gjh 134 8 deteriorate deteriorate VB cord-327444-y2464gjh 134 9 . . . cord-327444-y2464gjh 135 1 Many many JJ cord-327444-y2464gjh 135 2 other other JJ cord-327444-y2464gjh 135 3 infectious infectious JJ cord-327444-y2464gjh 135 4 conditions condition NNS cord-327444-y2464gjh 135 5 can can MD cord-327444-y2464gjh 135 6 also also RB cord-327444-y2464gjh 135 7 cause cause VB cord-327444-y2464gjh 135 8 lymphocytic lymphocytic JJ cord-327444-y2464gjh 135 9 meningitis meningitis NN cord-327444-y2464gjh 135 10 . . . cord-327444-y2464gjh 136 1 These these DT cord-327444-y2464gjh 136 2 include include VBP cord-327444-y2464gjh 136 3 secondary secondary JJ cord-327444-y2464gjh 136 4 syphilis syphili NNS cord-327444-y2464gjh 136 5 , , , cord-327444-y2464gjh 136 6 leptospirosis leptospirosis NN cord-327444-y2464gjh 136 7 , , , cord-327444-y2464gjh 136 8 brucellosis brucellosis NN cord-327444-y2464gjh 136 9 , , , cord-327444-y2464gjh 136 10 infections infection NNS cord-327444-y2464gjh 136 11 by by IN cord-327444-y2464gjh 136 12 Mycobacterium Mycobacterium NNP cord-327444-y2464gjh 136 13 tuberculosis tuberculosis NN cord-327444-y2464gjh 136 14 , , , cord-327444-y2464gjh 136 15 Lyme Lyme NNP cord-327444-y2464gjh 136 16 disease disease NN cord-327444-y2464gjh 136 17 caused cause VBN cord-327444-y2464gjh 136 18 by by IN cord-327444-y2464gjh 136 19 Borrelia Borrelia NNP cord-327444-y2464gjh 136 20 burgdorferi burgdorferi NN cord-327444-y2464gjh 136 21 , , , cord-327444-y2464gjh 136 22 infections infection NNS cord-327444-y2464gjh 136 23 due due JJ cord-327444-y2464gjh 136 24 to to IN cord-327444-y2464gjh 136 25 Ehrlichiae Ehrlichiae NNP cord-327444-y2464gjh 136 26 or or CC cord-327444-y2464gjh 136 27 , , , cord-327444-y2464gjh 136 28 rarely rarely RB cord-327444-y2464gjh 136 29 , , , cord-327444-y2464gjh 136 30 other other JJ cord-327444-y2464gjh 136 31 rickettsial rickettsial JJ cord-327444-y2464gjh 136 32 agents agent NNS cord-327444-y2464gjh 136 33 , , , cord-327444-y2464gjh 136 34 Mycoplasma mycoplasma NN cord-327444-y2464gjh 136 35 pneumoniae pneumoniae NN cord-327444-y2464gjh 136 36 , , , cord-327444-y2464gjh 136 37 and and CC cord-327444-y2464gjh 136 38 fungi fungus NNS cord-327444-y2464gjh 136 39 ( ( -LRB- cord-327444-y2464gjh 136 40 particularly particularly RB cord-327444-y2464gjh 136 41 Cryptococcus Cryptococcus NNP cord-327444-y2464gjh 136 42 neoformans neoforman NNS cord-327444-y2464gjh 136 43 , , , cord-327444-y2464gjh 136 44 Histoplasma Histoplasma NNP cord-327444-y2464gjh 136 45 , , , cord-327444-y2464gjh 136 46 Blastomyces Blastomyces NNP cord-327444-y2464gjh 136 47 Coccidioides Coccidioides NNP cord-327444-y2464gjh 136 48 , , , cord-327444-y2464gjh 136 49 and and CC cord-327444-y2464gjh 136 50 Candida Candida NNP cord-327444-y2464gjh 136 51 ) ) -RRB- cord-327444-y2464gjh 136 52 . . . cord-327444-y2464gjh 137 1 Tuberculous tuberculous JJ cord-327444-y2464gjh 137 2 and and CC cord-327444-y2464gjh 137 3 fungal fungal JJ cord-327444-y2464gjh 137 4 meningitis meningitis NN cord-327444-y2464gjh 137 5 are be VBP cord-327444-y2464gjh 137 6 often often RB cord-327444-y2464gjh 137 7 , , , cord-327444-y2464gjh 137 8 but but CC cord-327444-y2464gjh 137 9 not not RB cord-327444-y2464gjh 137 10 always always RB cord-327444-y2464gjh 137 11 , , , cord-327444-y2464gjh 137 12 accompanied accompany VBN cord-327444-y2464gjh 137 13 by by IN cord-327444-y2464gjh 137 14 a a DT cord-327444-y2464gjh 137 15 significant significant JJ cord-327444-y2464gjh 137 16 decrease decrease NN cord-327444-y2464gjh 137 17 in in IN cord-327444-y2464gjh 137 18 CSF csf NN cord-327444-y2464gjh 137 19 glucose glucose NN cord-327444-y2464gjh 137 20 . . . cord-327444-y2464gjh 138 1 Lyme Lyme NNP cord-327444-y2464gjh 138 2 meningitis meningitis NN cord-327444-y2464gjh 138 3 may may MD cord-327444-y2464gjh 138 4 produce produce VB cord-327444-y2464gjh 138 5 CSF CSF NNP cord-327444-y2464gjh 138 6 findings finding NNS cord-327444-y2464gjh 138 7 identical identical JJ cord-327444-y2464gjh 138 8 to to IN cord-327444-y2464gjh 138 9 those those DT cord-327444-y2464gjh 138 10 seen see VBN cord-327444-y2464gjh 138 11 in in IN cord-327444-y2464gjh 138 12 viral viral JJ cord-327444-y2464gjh 138 13 meningitis meningitis NN cord-327444-y2464gjh 138 14 . . . cord-327444-y2464gjh 139 1 However however RB cord-327444-y2464gjh 139 2 , , , cord-327444-y2464gjh 139 3 erythema erythema JJ cord-327444-y2464gjh 139 4 migrans migran NNS cord-327444-y2464gjh 139 5 , , , cord-327444-y2464gjh 139 6 multiple multiple JJ cord-327444-y2464gjh 139 7 cranial cranial JJ cord-327444-y2464gjh 139 8 neuropathies neuropathy NNS cord-327444-y2464gjh 139 9 and and CC cord-327444-y2464gjh 139 10 polyradiculopathies polyradiculopathie NNS cord-327444-y2464gjh 139 11 are be VBP cord-327444-y2464gjh 139 12 common common JJ cord-327444-y2464gjh 139 13 features feature NNS cord-327444-y2464gjh 139 14 of of IN cord-327444-y2464gjh 139 15 Lyme Lyme NNP cord-327444-y2464gjh 139 16 meningitis meningitis NN cord-327444-y2464gjh 139 17 . . . cord-327444-y2464gjh 140 1 Similarly similarly RB cord-327444-y2464gjh 140 2 , , , cord-327444-y2464gjh 140 3 patients patient NNS cord-327444-y2464gjh 140 4 with with IN cord-327444-y2464gjh 140 5 Lyme Lyme NNP cord-327444-y2464gjh 140 6 meningitis meningitis NN cord-327444-y2464gjh 140 7 tend tend VBP cord-327444-y2464gjh 140 8 to to TO cord-327444-y2464gjh 140 9 have have VB cord-327444-y2464gjh 140 10 fewer few JJR cord-327444-y2464gjh 140 11 white white JJ cord-327444-y2464gjh 140 12 blood blood NN cord-327444-y2464gjh 140 13 cells cell NNS cord-327444-y2464gjh 140 14 ( ( -LRB- cord-327444-y2464gjh 140 15 mean mean UH cord-327444-y2464gjh 140 16 , , , cord-327444-y2464gjh 140 17 80 80 CD cord-327444-y2464gjh 140 18 vs. vs. NN cord-327444-y2464gjh 140 19 301 301 CD cord-327444-y2464gjh 140 20 / / SYM cord-327444-y2464gjh 140 21 mm mm NN cord-327444-y2464gjh 140 22 3 3 CD cord-327444-y2464gjh 140 23 ) ) -RRB- cord-327444-y2464gjh 140 24 and and CC cord-327444-y2464gjh 140 25 a a DT cord-327444-y2464gjh 140 26 significantly significantly RB cord-327444-y2464gjh 140 27 greater great JJR cord-327444-y2464gjh 140 28 percentage percentage NN cord-327444-y2464gjh 140 29 of of IN cord-327444-y2464gjh 140 30 mononuclear mononuclear JJ cord-327444-y2464gjh 140 31 cells cell NNS cord-327444-y2464gjh 140 32 than than IN cord-327444-y2464gjh 140 33 patients patient NNS cord-327444-y2464gjh 140 34 with with IN cord-327444-y2464gjh 140 35 viral viral JJ cord-327444-y2464gjh 140 36 meningitis meningitis NN cord-327444-y2464gjh 140 37 . . . cord-327444-y2464gjh 141 1 Both both DT cord-327444-y2464gjh 141 2 M. M. NNP cord-327444-y2464gjh 141 3 tuberculosis tuberculosis NN cord-327444-y2464gjh 141 4 and and CC cord-327444-y2464gjh 141 5 M. M. NNP cord-327444-y2464gjh 141 6 pneumoniae pneumoniae NNS cord-327444-y2464gjh 141 7 are be VBP cord-327444-y2464gjh 141 8 difficult difficult JJ cord-327444-y2464gjh 141 9 to to TO cord-327444-y2464gjh 141 10 culture culture NN cord-327444-y2464gjh 141 11 but but CC cord-327444-y2464gjh 141 12 are be VBP cord-327444-y2464gjh 141 13 readily readily RB cord-327444-y2464gjh 141 14 detectable detectable JJ cord-327444-y2464gjh 141 15 by by IN cord-327444-y2464gjh 141 16 PCR PCR NNP cord-327444-y2464gjh 141 17 ; ; : cord-327444-y2464gjh 141 18 PCR PCR NNP cord-327444-y2464gjh 141 19 tests test NNS cord-327444-y2464gjh 141 20 for for IN cord-327444-y2464gjh 141 21 Ehrlichiae Ehrlichiae NNP cord-327444-y2464gjh 141 22 are be VBP cord-327444-y2464gjh 141 23 in in IN cord-327444-y2464gjh 141 24 limited limited JJ cord-327444-y2464gjh 141 25 use use NN cord-327444-y2464gjh 141 26 . . . cord-327444-y2464gjh 142 1 Noninfectious noninfectious JJ cord-327444-y2464gjh 142 2 etiologies etiology NNS cord-327444-y2464gjh 142 3 can can MD cord-327444-y2464gjh 142 4 also also RB cord-327444-y2464gjh 142 5 cause cause VB cord-327444-y2464gjh 142 6 a a DT cord-327444-y2464gjh 142 7 lymphocytic lymphocytic JJ cord-327444-y2464gjh 142 8 or or CC cord-327444-y2464gjh 142 9 aseptic aseptic JJ cord-327444-y2464gjh 142 10 meningitis meningitis NN cord-327444-y2464gjh 142 11 including include VBG cord-327444-y2464gjh 142 12 side side NN cord-327444-y2464gjh 142 13 effects effect NNS cord-327444-y2464gjh 142 14 of of IN cord-327444-y2464gjh 142 15 a a DT cord-327444-y2464gjh 142 16 number number NN cord-327444-y2464gjh 142 17 of of IN cord-327444-y2464gjh 142 18 medications medication NNS cord-327444-y2464gjh 142 19 like like IN cord-327444-y2464gjh 142 20 nonsteroidal nonsteroidal JJ cord-327444-y2464gjh 142 21 anti anti JJ cord-327444-y2464gjh 142 22 - - JJ cord-327444-y2464gjh 142 23 inflammatory inflammatory JJ cord-327444-y2464gjh 142 24 drugs drug NNS cord-327444-y2464gjh 142 25 , , , cord-327444-y2464gjh 142 26 serum serum NN cord-327444-y2464gjh 142 27 immunoglobulins immunoglobulin NNS cord-327444-y2464gjh 142 28 , , , cord-327444-y2464gjh 142 29 carbamazepine carbamazepine NN cord-327444-y2464gjh 142 30 , , , cord-327444-y2464gjh 142 31 lamotrigine lamotrigine NN cord-327444-y2464gjh 142 32 , , , cord-327444-y2464gjh 142 33 and and CC cord-327444-y2464gjh 142 34 trimethoprim trimethoprim NNP cord-327444-y2464gjh 142 35 sulfamethoxazole sulfamethoxazole NNP cord-327444-y2464gjh 142 36 . . . cord-327444-y2464gjh 143 1 Recurrent recurrent JJ cord-327444-y2464gjh 143 2 meningitis meningitis NN cord-327444-y2464gjh 143 3 can can MD cord-327444-y2464gjh 143 4 occur occur VB cord-327444-y2464gjh 143 5 in in IN cord-327444-y2464gjh 143 6 patients patient NNS cord-327444-y2464gjh 143 7 with with IN cord-327444-y2464gjh 143 8 periodic periodic JJ cord-327444-y2464gjh 143 9 leakages leakage NNS cord-327444-y2464gjh 143 10 from from IN cord-327444-y2464gjh 143 11 dermoid dermoid JJ cord-327444-y2464gjh 143 12 or or CC cord-327444-y2464gjh 143 13 epidermoid epidermoid JJ cord-327444-y2464gjh 143 14 cysts cyst NNS cord-327444-y2464gjh 143 15 abutting abut VBG cord-327444-y2464gjh 143 16 the the DT cord-327444-y2464gjh 143 17 meninges meninge NNS cord-327444-y2464gjh 143 18 . . . cord-327444-y2464gjh 144 1 In in IN cord-327444-y2464gjh 144 2 such such JJ cord-327444-y2464gjh 144 3 patients patient NNS cord-327444-y2464gjh 144 4 , , , cord-327444-y2464gjh 144 5 the the DT cord-327444-y2464gjh 144 6 diagnosis diagnosis NN cord-327444-y2464gjh 144 7 can can MD cord-327444-y2464gjh 144 8 be be VB cord-327444-y2464gjh 144 9 made make VBN cord-327444-y2464gjh 144 10 by by IN cord-327444-y2464gjh 144 11 a a DT cord-327444-y2464gjh 144 12 detailed detailed JJ cord-327444-y2464gjh 144 13 MRI MRI NNP cord-327444-y2464gjh 144 14 examination examination NN cord-327444-y2464gjh 144 15 of of IN cord-327444-y2464gjh 144 16 the the DT cord-327444-y2464gjh 144 17 brain brain NN cord-327444-y2464gjh 144 18 and and CC cord-327444-y2464gjh 144 19 the the DT cord-327444-y2464gjh 144 20 spinal spinal JJ cord-327444-y2464gjh 144 21 cord cord NN cord-327444-y2464gjh 144 22 . . . cord-327444-y2464gjh 145 1 Lastly lastly RB cord-327444-y2464gjh 145 2 , , , cord-327444-y2464gjh 145 3 autoimmune autoimmune JJ cord-327444-y2464gjh 145 4 disease disease NN cord-327444-y2464gjh 145 5 can can MD cord-327444-y2464gjh 145 6 manifest manifest VB cord-327444-y2464gjh 145 7 as as IN cord-327444-y2464gjh 145 8 a a DT cord-327444-y2464gjh 145 9 lymphocytic lymphocytic JJ cord-327444-y2464gjh 145 10 meningitis meningitis NN cord-327444-y2464gjh 145 11 , , , cord-327444-y2464gjh 145 12 sometimes sometimes RB cord-327444-y2464gjh 145 13 representing represent VBG cord-327444-y2464gjh 145 14 the the DT cord-327444-y2464gjh 145 15 initial initial JJ cord-327444-y2464gjh 145 16 presentation presentation NN cord-327444-y2464gjh 145 17 of of IN cord-327444-y2464gjh 145 18 systemic systemic JJ cord-327444-y2464gjh 145 19 lupus lupus NN cord-327444-y2464gjh 145 20 erythematosus erythematosus NN cord-327444-y2464gjh 145 21 and and CC cord-327444-y2464gjh 145 22 sarcoidosis sarcoidosis NN cord-327444-y2464gjh 145 23 . . . cord-327444-y2464gjh 146 1 It -PRON- PRP cord-327444-y2464gjh 146 2 can can MD cord-327444-y2464gjh 146 3 also also RB cord-327444-y2464gjh 146 4 be be VB cord-327444-y2464gjh 146 5 seen see VBN cord-327444-y2464gjh 146 6 associated associate VBN cord-327444-y2464gjh 146 7 with with IN cord-327444-y2464gjh 146 8 Sjö Sjö NNP cord-327444-y2464gjh 146 9 gren gren NNP cord-327444-y2464gjh 146 10 's 's POS cord-327444-y2464gjh 146 11 syndrome syndrome NN cord-327444-y2464gjh 146 12 and and CC cord-327444-y2464gjh 146 13 rheumatoid rheumatoid NN cord-327444-y2464gjh 146 14 arthritis arthritis NN cord-327444-y2464gjh 146 15 , , , cord-327444-y2464gjh 146 16 particularly particularly RB cord-327444-y2464gjh 146 17 in in IN cord-327444-y2464gjh 146 18 patients patient NNS cord-327444-y2464gjh 146 19 who who WP cord-327444-y2464gjh 146 20 take take VBP cord-327444-y2464gjh 146 21 nonsteroidal nonsteroidal JJ cord-327444-y2464gjh 146 22 anti anti JJ cord-327444-y2464gjh 146 23 - - JJ cord-327444-y2464gjh 146 24 inflammatory inflammatory JJ cord-327444-y2464gjh 146 25 drugs drug NNS cord-327444-y2464gjh 146 26 . . . cord-327444-y2464gjh 147 1 Most Most JJS cord-327444-y2464gjh 147 2 cases case NNS cord-327444-y2464gjh 147 3 of of IN cord-327444-y2464gjh 147 4 viral viral JJ cord-327444-y2464gjh 147 5 meningitis meningitis NN cord-327444-y2464gjh 147 6 are be VBP cord-327444-y2464gjh 147 7 self self NN cord-327444-y2464gjh 147 8 - - HYPH cord-327444-y2464gjh 147 9 limited limit VBN cord-327444-y2464gjh 147 10 , , , cord-327444-y2464gjh 147 11 and and CC cord-327444-y2464gjh 147 12 antiviral antiviral JJ cord-327444-y2464gjh 147 13 therapy therapy NN cord-327444-y2464gjh 147 14 is be VBZ cord-327444-y2464gjh 147 15 usually usually RB cord-327444-y2464gjh 147 16 not not RB cord-327444-y2464gjh 147 17 indicated indicate VBN cord-327444-y2464gjh 147 18 . . . cord-327444-y2464gjh 148 1 Controlled controlled JJ cord-327444-y2464gjh 148 2 studies study NNS cord-327444-y2464gjh 148 3 of of IN cord-327444-y2464gjh 148 4 antiviral antiviral JJ cord-327444-y2464gjh 148 5 CSF CSF NNP cord-327444-y2464gjh 148 6 during during IN cord-327444-y2464gjh 148 7 the the DT cord-327444-y2464gjh 148 8 first first JJ cord-327444-y2464gjh 148 9 24 24 CD cord-327444-y2464gjh 148 10 h h NN cord-327444-y2464gjh 148 11 of of IN cord-327444-y2464gjh 148 12 viral viral JJ cord-327444-y2464gjh 148 13 meningitis meningitis NN cord-327444-y2464gjh 148 14 may may MD cord-327444-y2464gjh 148 15 contain contain VB cord-327444-y2464gjh 148 16 a a DT cord-327444-y2464gjh 148 17 mixture mixture NN cord-327444-y2464gjh 148 18 of of IN cord-327444-y2464gjh 148 19 lymphocytes lymphocyte NNS cord-327444-y2464gjh 148 20 and and CC cord-327444-y2464gjh 148 21 polymorphonuclear polymorphonuclear NN cord-327444-y2464gjh 148 22 leukocytes leukocyte NNS cord-327444-y2464gjh 148 23 . . . cord-327444-y2464gjh 149 1 In in IN cord-327444-y2464gjh 149 2 these these DT cord-327444-y2464gjh 149 3 cases case NNS cord-327444-y2464gjh 149 4 , , , cord-327444-y2464gjh 149 5 in in IN cord-327444-y2464gjh 149 6 contrast contrast NN cord-327444-y2464gjh 149 7 to to IN cord-327444-y2464gjh 149 8 bacterial bacterial JJ cord-327444-y2464gjh 149 9 meningitis meningitis NN cord-327444-y2464gjh 149 10 , , , cord-327444-y2464gjh 149 11 CSF csf NN cord-327444-y2464gjh 149 12 glucose glucose NN cord-327444-y2464gjh 149 13 is be VBZ cord-327444-y2464gjh 149 14 usually usually RB cord-327444-y2464gjh 149 15 normal normal JJ cord-327444-y2464gjh 149 16 and and CC cord-327444-y2464gjh 149 17 follow follow VB cord-327444-y2464gjh 149 18 - - HYPH cord-327444-y2464gjh 149 19 up up RP cord-327444-y2464gjh 149 20 lumbar lumbar NN cord-327444-y2464gjh 149 21 puncture puncture NN cord-327444-y2464gjh 149 22 24 24 CD cord-327444-y2464gjh 149 23 h h NN cord-327444-y2464gjh 149 24 later later RB cord-327444-y2464gjh 149 25 will will MD cord-327444-y2464gjh 149 26 often often RB cord-327444-y2464gjh 149 27 but but CC cord-327444-y2464gjh 149 28 not not RB cord-327444-y2464gjh 149 29 always always RB cord-327444-y2464gjh 149 30 show show VB cord-327444-y2464gjh 149 31 lymphocytes lymphocyte NNS cord-327444-y2464gjh 149 32 only only RB cord-327444-y2464gjh 149 33 . . . cord-327444-y2464gjh 150 1 c c LS cord-327444-y2464gjh 150 2 Positive Positive NNP cord-327444-y2464gjh 150 3 Gram Gram NNP cord-327444-y2464gjh 150 4 stain stain NN cord-327444-y2464gjh 150 5 requires require VBZ cord-327444-y2464gjh 150 6 approximately approximately RB cord-327444-y2464gjh 150 7 10 10 CD cord-327444-y2464gjh 150 8 5 5 CD cord-327444-y2464gjh 150 9 colony colony NN cord-327444-y2464gjh 150 10 - - HYPH cord-327444-y2464gjh 150 11 forming form VBG cord-327444-y2464gjh 150 12 units unit NNS cord-327444-y2464gjh 150 13 ( ( -LRB- cord-327444-y2464gjh 150 14 CFU)/ml CFU)/ml NNP cord-327444-y2464gjh 150 15 of of IN cord-327444-y2464gjh 150 16 CSF CSF NNP cord-327444-y2464gjh 150 17 . . . cord-327444-y2464gjh 151 1 Approximately approximately RB cord-327444-y2464gjh 151 2 25 25 CD cord-327444-y2464gjh 151 3 % % NN cord-327444-y2464gjh 151 4 of of IN cord-327444-y2464gjh 151 5 Gram Gram NNP cord-327444-y2464gjh 151 6 stains stain NNS cord-327444-y2464gjh 151 7 will will MD cord-327444-y2464gjh 151 8 be be VB cord-327444-y2464gjh 151 9 positive positive JJ cord-327444-y2464gjh 151 10 if if IN cord-327444-y2464gjh 151 11 CSF CSF NNP cord-327444-y2464gjh 151 12 contains contain VBZ cord-327444-y2464gjh 151 13 10 10 CD cord-327444-y2464gjh 151 14 3 3 CD cord-327444-y2464gjh 151 15 CFU CFU NNP cord-327444-y2464gjh 151 16 / / SYM cord-327444-y2464gjh 151 17 m m NN cord-327444-y2464gjh 151 18 . . . cord-327444-y2464gjh 152 1 Prior prior JJ cord-327444-y2464gjh 152 2 antibiotic antibiotic JJ cord-327444-y2464gjh 152 3 treatment treatment NN cord-327444-y2464gjh 152 4 will will MD cord-327444-y2464gjh 152 5 reduce reduce VB cord-327444-y2464gjh 152 6 this this DT cord-327444-y2464gjh 152 7 amount amount NN cord-327444-y2464gjh 152 8 by by IN cord-327444-y2464gjh 152 9 20 20 CD cord-327444-y2464gjh 152 10 % % NN cord-327444-y2464gjh 152 11 . . . cord-327444-y2464gjh 153 1 Abbreviations abbreviation NNS cord-327444-y2464gjh 153 2 : : : cord-327444-y2464gjh 153 3 AFB AFB NNP cord-327444-y2464gjh 153 4 , , , cord-327444-y2464gjh 153 5 acid acid NN cord-327444-y2464gjh 153 6 - - HYPH cord-327444-y2464gjh 153 7 fast fast JJ cord-327444-y2464gjh 153 8 bacillus bacillus NN cord-327444-y2464gjh 153 9 ; ; : cord-327444-y2464gjh 153 10 CSF csf NN cord-327444-y2464gjh 153 11 , , , cord-327444-y2464gjh 153 12 cerebrospinal cerebrospinal JJ cord-327444-y2464gjh 153 13 fluid fluid NN cord-327444-y2464gjh 153 14 ; ; : cord-327444-y2464gjh 153 15 PCR PCR NNP cord-327444-y2464gjh 153 16 , , , cord-327444-y2464gjh 153 17 polymerase polymerase NN cord-327444-y2464gjh 153 18 chain chain NN cord-327444-y2464gjh 153 19 reaction reaction NN cord-327444-y2464gjh 153 20 . . . cord-327444-y2464gjh 154 1 agents agent NNS cord-327444-y2464gjh 154 2 in in IN cord-327444-y2464gjh 154 3 viral viral JJ cord-327444-y2464gjh 154 4 meningitis meningitis NN cord-327444-y2464gjh 154 5 have have VBP cord-327444-y2464gjh 154 6 not not RB cord-327444-y2464gjh 154 7 been be VBN cord-327444-y2464gjh 154 8 reported report VBN cord-327444-y2464gjh 154 9 in in IN cord-327444-y2464gjh 154 10 detail detail NN cord-327444-y2464gjh 154 11 . . . cord-327444-y2464gjh 155 1 Recent recent JJ cord-327444-y2464gjh 155 2 data datum NNS cord-327444-y2464gjh 155 3 from from IN cord-327444-y2464gjh 155 4 controlled control VBN cord-327444-y2464gjh 155 5 studies study NNS cord-327444-y2464gjh 155 6 presented present VBN cord-327444-y2464gjh 155 7 in in IN cord-327444-y2464gjh 155 8 abstract abstract JJ cord-327444-y2464gjh 155 9 form form NN cord-327444-y2464gjh 155 10 , , , cord-327444-y2464gjh 155 11 however however RB cord-327444-y2464gjh 155 12 , , , cord-327444-y2464gjh 155 13 suggest suggest VBP cord-327444-y2464gjh 155 14 that that IN cord-327444-y2464gjh 155 15 virological virological JJ cord-327444-y2464gjh 155 16 and and CC cord-327444-y2464gjh 155 17 clinical clinical JJ cord-327444-y2464gjh 155 18 improvements improvement NNS cord-327444-y2464gjh 155 19 are be VBP cord-327444-y2464gjh 155 20 better well JJR cord-327444-y2464gjh 155 21 in in IN cord-327444-y2464gjh 155 22 patients patient NNS cord-327444-y2464gjh 155 23 with with IN cord-327444-y2464gjh 155 24 severe severe JJ cord-327444-y2464gjh 155 25 enteroviral enteroviral NN cord-327444-y2464gjh 155 26 meningoencephalitis meningoencephalitis NN cord-327444-y2464gjh 155 27 treated treat VBN cord-327444-y2464gjh 155 28 with with IN cord-327444-y2464gjh 155 29 the the DT cord-327444-y2464gjh 155 30 antiviral antiviral JJ cord-327444-y2464gjh 155 31 agent agent NN cord-327444-y2464gjh 155 32 pleconaril pleconaril NNP cord-327444-y2464gjh 155 33 than than IN cord-327444-y2464gjh 155 34 with with IN cord-327444-y2464gjh 155 35 placebo placebo NN cord-327444-y2464gjh 155 36 . . . cord-327444-y2464gjh 156 1 Similarly similarly RB cord-327444-y2464gjh 156 2 , , , cord-327444-y2464gjh 156 3 depending depend VBG cord-327444-y2464gjh 156 4 on on IN cord-327444-y2464gjh 156 5 the the DT cord-327444-y2464gjh 156 6 severity severity NN cord-327444-y2464gjh 156 7 of of IN cord-327444-y2464gjh 156 8 illness illness NN cord-327444-y2464gjh 156 9 , , , cord-327444-y2464gjh 156 10 consideration consideration NN cord-327444-y2464gjh 156 11 should should MD cord-327444-y2464gjh 156 12 be be VB cord-327444-y2464gjh 156 13 given give VBN cord-327444-y2464gjh 156 14 to to IN cord-327444-y2464gjh 156 15 the the DT cord-327444-y2464gjh 156 16 therapy therapy NN cord-327444-y2464gjh 156 17 for for IN cord-327444-y2464gjh 156 18 HSV HSV NNP cord-327444-y2464gjh 156 19 meningitis meningitis NN cord-327444-y2464gjh 156 20 with with IN cord-327444-y2464gjh 156 21 acyclovir acyclovir NNP cord-327444-y2464gjh 156 22 or or CC cord-327444-y2464gjh 156 23 similar similar JJ cord-327444-y2464gjh 156 24 agents agent NNS cord-327444-y2464gjh 156 25 . . . cord-327444-y2464gjh 157 1 Use use NN cord-327444-y2464gjh 157 2 of of IN cord-327444-y2464gjh 157 3 antiviral antiviral JJ cord-327444-y2464gjh 157 4 agents agent NNS cord-327444-y2464gjh 157 5 in in IN cord-327444-y2464gjh 157 6 the the DT cord-327444-y2464gjh 157 7 treatment treatment NN cord-327444-y2464gjh 157 8 of of IN cord-327444-y2464gjh 157 9 viral viral JJ cord-327444-y2464gjh 157 10 meningitis meningitis NN cord-327444-y2464gjh 157 11 is be VBZ cord-327444-y2464gjh 157 12 still still RB cord-327444-y2464gjh 157 13 essentially essentially RB cord-327444-y2464gjh 157 14 experimental experimental JJ cord-327444-y2464gjh 157 15 and and CC cord-327444-y2464gjh 157 16 must must MD cord-327444-y2464gjh 157 17 be be VB cord-327444-y2464gjh 157 18 balanced balance VBN cord-327444-y2464gjh 157 19 against against IN cord-327444-y2464gjh 157 20 the the DT cord-327444-y2464gjh 157 21 severity severity NN cord-327444-y2464gjh 157 22 of of IN cord-327444-y2464gjh 157 23 disease disease NN cord-327444-y2464gjh 157 24 and and CC cord-327444-y2464gjh 157 25 complications complication NNS cord-327444-y2464gjh 157 26 of of IN cord-327444-y2464gjh 157 27 the the DT cord-327444-y2464gjh 157 28 therapy therapy NN cord-327444-y2464gjh 157 29 . . . cord-327444-y2464gjh 158 1 An an DT cord-327444-y2464gjh 158 2 exception exception NN cord-327444-y2464gjh 158 3 to to IN cord-327444-y2464gjh 158 4 this this DT cord-327444-y2464gjh 158 5 is be VBZ cord-327444-y2464gjh 158 6 HIV HIV NNP cord-327444-y2464gjh 158 7 meningitis meningitis NN cord-327444-y2464gjh 158 8 , , , cord-327444-y2464gjh 158 9 in in IN cord-327444-y2464gjh 158 10 which which WDT cord-327444-y2464gjh 158 11 diagnosis diagnosis NN cord-327444-y2464gjh 158 12 of of IN cord-327444-y2464gjh 158 13 HIV HIV NNP cord-327444-y2464gjh 158 14 infection infection NN cord-327444-y2464gjh 158 15 is be VBZ cord-327444-y2464gjh 158 16 in in IN cord-327444-y2464gjh 158 17 itself -PRON- PRP cord-327444-y2464gjh 158 18 an an DT cord-327444-y2464gjh 158 19 indication indication NN cord-327444-y2464gjh 158 20 for for IN cord-327444-y2464gjh 158 21 highly highly RB cord-327444-y2464gjh 158 22 active active JJ cord-327444-y2464gjh 158 23 antiretroviral antiretroviral JJ cord-327444-y2464gjh 158 24 therapy therapy NN cord-327444-y2464gjh 158 25 . . . cord-327444-y2464gjh 159 1 Viral viral JJ cord-327444-y2464gjh 159 2 meningitis meningitis NN cord-327444-y2464gjh 159 3 is be VBZ cord-327444-y2464gjh 159 4 almost almost RB cord-327444-y2464gjh 159 5 always always RB cord-327444-y2464gjh 159 6 a a DT cord-327444-y2464gjh 159 7 self self NN cord-327444-y2464gjh 159 8 - - HYPH cord-327444-y2464gjh 159 9 limiting limit VBG cord-327444-y2464gjh 159 10 disease disease NN cord-327444-y2464gjh 159 11 . . . cord-327444-y2464gjh 160 1 Recovery recovery NN cord-327444-y2464gjh 160 2 may may MD cord-327444-y2464gjh 160 3 occur occur VB cord-327444-y2464gjh 160 4 within within IN cord-327444-y2464gjh 160 5 days day NNS cord-327444-y2464gjh 160 6 . . . cord-327444-y2464gjh 161 1 However however RB cord-327444-y2464gjh 161 2 , , , cord-327444-y2464gjh 161 3 symptomatic symptomatic JJ cord-327444-y2464gjh 161 4 illness illness NN cord-327444-y2464gjh 161 5 is be VBZ cord-327444-y2464gjh 161 6 not not RB cord-327444-y2464gjh 161 7 infrequently infrequently RB cord-327444-y2464gjh 161 8 prolonged prolong VBN cord-327444-y2464gjh 161 9 , , , cord-327444-y2464gjh 161 10 and and CC cord-327444-y2464gjh 161 11 patients patient NNS cord-327444-y2464gjh 161 12 may may MD cord-327444-y2464gjh 161 13 require require VB cord-327444-y2464gjh 161 14 weeks week NNS cord-327444-y2464gjh 161 15 or or CC cord-327444-y2464gjh 161 16 months month NNS cord-327444-y2464gjh 161 17 to to TO cord-327444-y2464gjh 161 18 return return VB cord-327444-y2464gjh 161 19 to to IN cord-327444-y2464gjh 161 20 full full JJ cord-327444-y2464gjh 161 21 health health NN cord-327444-y2464gjh 161 22 . . . cord-327444-y2464gjh 162 1 Permanent permanent JJ cord-327444-y2464gjh 162 2 neurological neurological JJ cord-327444-y2464gjh 162 3 deficits deficit NNS cord-327444-y2464gjh 162 4 or or CC cord-327444-y2464gjh 162 5 intellectual intellectual JJ cord-327444-y2464gjh 162 6 impairment impairment NN cord-327444-y2464gjh 162 7 are be VBP cord-327444-y2464gjh 162 8 rare rare JJ cord-327444-y2464gjh 162 9 and and CC cord-327444-y2464gjh 162 10 , , , cord-327444-y2464gjh 162 11 if if IN cord-327444-y2464gjh 162 12 present present JJ cord-327444-y2464gjh 162 13 , , , cord-327444-y2464gjh 162 14 should should MD cord-327444-y2464gjh 162 15 prompt prompt VB cord-327444-y2464gjh 162 16 a a DT cord-327444-y2464gjh 162 17 more more RBR cord-327444-y2464gjh 162 18 thorough thorough JJ cord-327444-y2464gjh 162 19 workup workup NN cord-327444-y2464gjh 162 20 for for IN cord-327444-y2464gjh 162 21 nonviral nonviral JJ cord-327444-y2464gjh 162 22 etiologies etiology NNS cord-327444-y2464gjh 162 23 of of IN cord-327444-y2464gjh 162 24 meningitis meningitis NN cord-327444-y2464gjh 162 25 . . . cord-327444-y2464gjh 163 1 See see VB cord-327444-y2464gjh 163 2 also also RB cord-327444-y2464gjh 163 3 : : : cord-327444-y2464gjh 163 4 Encephalitis encephalitis RB cord-327444-y2464gjh 163 5 , , , cord-327444-y2464gjh 163 6 Viral Viral NNP cord-327444-y2464gjh 163 7 . . . cord-327444-y2464gjh 164 1 Herpesviruses Herpesviruses NNP cord-327444-y2464gjh 164 2 , , , cord-327444-y2464gjh 164 3 Human Human NNP cord-327444-y2464gjh 164 4 . . . cord-327444-y2464gjh 165 1 Meningitis meningitis NN cord-327444-y2464gjh 165 2 , , , cord-327444-y2464gjh 165 3 Bacterial bacterial JJ cord-327444-y2464gjh 165 4 . . . cord-327444-y2464gjh 166 1 Meningitis meningitis NN cord-327444-y2464gjh 166 2 , , , cord-327444-y2464gjh 166 3 Fungal fungal JJ cord-327444-y2464gjh 166 4 Aseptic aseptic JJ cord-327444-y2464gjh 166 5 meningitis meningitis NN cord-327444-y2464gjh 166 6 , , , cord-327444-y2464gjh 166 7 a a DT cord-327444-y2464gjh 166 8 disease disease NN cord-327444-y2464gjh 166 9 of of IN cord-327444-y2464gjh 166 10 diverse diverse JJ cord-327444-y2464gjh 166 11 etiology etiology NN cord-327444-y2464gjh 166 12 : : : cord-327444-y2464gjh 167 1 Clinical clinical JJ cord-327444-y2464gjh 167 2 and and CC cord-327444-y2464gjh 167 3 etiologic etiologic JJ cord-327444-y2464gjh 167 4 studies study NNS cord-327444-y2464gjh 167 5 on on IN cord-327444-y2464gjh 167 6 854 854 CD cord-327444-y2464gjh 167 7 cases case NNS cord-327444-y2464gjh 168 1 The the DT cord-327444-y2464gjh 168 2 rational rational JJ cord-327444-y2464gjh 168 3 clinical clinical JJ cord-327444-y2464gjh 168 4 examination examination NN cord-327444-y2464gjh 168 5 . . . cord-327444-y2464gjh 169 1 Does do VBZ cord-327444-y2464gjh 169 2 this this DT cord-327444-y2464gjh 169 3 patient patient NN cord-327444-y2464gjh 169 4 have have VB cord-327444-y2464gjh 169 5 acute acute JJ cord-327444-y2464gjh 169 6 meningitis meningitis NN cord-327444-y2464gjh 169 7 Lymphocytic lymphocytic JJ cord-327444-y2464gjh 169 8 choriomeningitis choriomeningitis NN cord-327444-y2464gjh 169 9 virus virus NN cord-327444-y2464gjh 169 10 : : : cord-327444-y2464gjh 169 11 Reemerging reemerge VBG cord-327444-y2464gjh 169 12 central central JJ cord-327444-y2464gjh 169 13 nervous nervous JJ cord-327444-y2464gjh 169 14 system system NN cord-327444-y2464gjh 169 15 pathogen pathogen NN cord-327444-y2464gjh 169 16 Cerebrospinal cerebrospinal NN cord-327444-y2464gjh 169 17 fluid fluid NN cord-327444-y2464gjh 169 18 in in IN cord-327444-y2464gjh 169 19 central central JJ cord-327444-y2464gjh 169 20 nervous nervous JJ cord-327444-y2464gjh 169 21 system system NN cord-327444-y2464gjh 169 22 infections infection NNS cord-327444-y2464gjh 169 23 Prospective prospective JJ cord-327444-y2464gjh 169 24 analysis analysis NN cord-327444-y2464gjh 169 25 of of IN cord-327444-y2464gjh 169 26 61 61 CD cord-327444-y2464gjh 169 27 cases case NNS cord-327444-y2464gjh 169 28 of of IN cord-327444-y2464gjh 169 29 enteroviral enteroviral JJ cord-327444-y2464gjh 169 30 meningitis meningitis NN cord-327444-y2464gjh 169 31 : : : cord-327444-y2464gjh 169 32 Interest interest NN cord-327444-y2464gjh 169 33 of of IN cord-327444-y2464gjh 169 34 systematic systematic JJ cord-327444-y2464gjh 169 35 genome genome NN cord-327444-y2464gjh 169 36 detection detection NN cord-327444-y2464gjh 169 37 in in IN cord-327444-y2464gjh 169 38 cerebrospinal cerebrospinal JJ cord-327444-y2464gjh 169 39 fluid fluid NN cord-327444-y2464gjh 169 40 irrespective irrespective RB cord-327444-y2464gjh 169 41 of of IN cord-327444-y2464gjh 169 42 cytologic cytologic JJ cord-327444-y2464gjh 169 43 examination examination NN cord-327444-y2464gjh 169 44 results result NNS cord-327444-y2464gjh 170 1 Lymphocytic lymphocytic JJ cord-327444-y2464gjh 170 2 choriomeningitis choriomeningitis NNP cord-327444-y2464gjh 170 3 virus virus NN cord-327444-y2464gjh 170 4 : : : cord-327444-y2464gjh 171 1 A a DT cord-327444-y2464gjh 171 2 neglected neglected JJ cord-327444-y2464gjh 171 3 pathogen pathogen NN cord-327444-y2464gjh 171 4 of of IN cord-327444-y2464gjh 171 5 man man NN cord-327444-y2464gjh 171 6 Viral Viral NNP cord-327444-y2464gjh 171 7 Infections infection NNS cord-327444-y2464gjh 171 8 of of IN cord-327444-y2464gjh 171 9 the the DT cord-327444-y2464gjh 171 10 Nervous Nervous NNP cord-327444-y2464gjh 171 11 System System NNP cord-327444-y2464gjh 171 12 Diagnosis diagnosis NN cord-327444-y2464gjh 171 13 and and CC cord-327444-y2464gjh 171 14 surveillance surveillance NN cord-327444-y2464gjh 171 15 of of IN cord-327444-y2464gjh 171 16 herpes herpes NN cord-327444-y2464gjh 171 17 simplex simplex NNP cord-327444-y2464gjh 171 18 virus virus NN cord-327444-y2464gjh 171 19 infection infection NN cord-327444-y2464gjh 171 20 of of IN cord-327444-y2464gjh 171 21 the the DT cord-327444-y2464gjh 171 22 central central JJ cord-327444-y2464gjh 171 23 nervous nervous JJ cord-327444-y2464gjh 171 24 system system NN cord-327444-y2464gjh 172 1 The the DT cord-327444-y2464gjh 172 2 outbreak outbreak NN cord-327444-y2464gjh 172 3 of of IN cord-327444-y2464gjh 172 4 West West NNP cord-327444-y2464gjh 172 5 Nile Nile NNP cord-327444-y2464gjh 172 6 virus virus NN cord-327444-y2464gjh 172 7 infection infection NN cord-327444-y2464gjh 172 8 in in IN cord-327444-y2464gjh 172 9 the the DT cord-327444-y2464gjh 172 10 New New NNP cord-327444-y2464gjh 172 11 York York NNP cord-327444-y2464gjh 172 12 City City NNP cord-327444-y2464gjh 172 13 area area NN cord-327444-y2464gjh 172 14 in in IN cord-327444-y2464gjh 172 15 1999 1999 CD cord-327444-y2464gjh 172 16 Cerebrospinal cerebrospinal NN cord-327444-y2464gjh 172 17 fluid fluid JJ cord-327444-y2464gjh 172 18 findings finding NNS cord-327444-y2464gjh 172 19 in in IN cord-327444-y2464gjh 172 20 aseptic aseptic JJ cord-327444-y2464gjh 172 21 versus versus IN cord-327444-y2464gjh 172 22 bacterial bacterial JJ cord-327444-y2464gjh 172 23 meningitis meningitis NN cord-327444-y2464gjh 172 24 Laboratory Laboratory NNP cord-327444-y2464gjh 172 25 diagnosis diagnosis NN cord-327444-y2464gjh 172 26 of of IN cord-327444-y2464gjh 172 27 common common JJ cord-327444-y2464gjh 172 28 viral viral JJ cord-327444-y2464gjh 172 29 infections infection NNS cord-327444-y2464gjh 172 30 of of IN cord-327444-y2464gjh 172 31 the the DT cord-327444-y2464gjh 172 32 central central JJ cord-327444-y2464gjh 172 33 nervous nervous JJ cord-327444-y2464gjh 172 34 system system NN cord-327444-y2464gjh 172 35 by by IN cord-327444-y2464gjh 172 36 using use VBG cord-327444-y2464gjh 172 37 a a DT cord-327444-y2464gjh 172 38 single single JJ cord-327444-y2464gjh 172 39 multiplex multiplex NN cord-327444-y2464gjh 172 40 PCR pcr NN cord-327444-y2464gjh 172 41 screening screening NN cord-327444-y2464gjh 172 42 assay assay NN cord-327444-y2464gjh 172 43 Viral viral JJ cord-327444-y2464gjh 172 44 meningitis meningitis NN cord-327444-y2464gjh 172 45 Clinical clinical JJ cord-327444-y2464gjh 172 46 significance significance NN cord-327444-y2464gjh 172 47 of of IN cord-327444-y2464gjh 172 48 enteroviruses enterovirus NNS cord-327444-y2464gjh 172 49 in in IN cord-327444-y2464gjh 172 50 serious serious JJ cord-327444-y2464gjh 172 51 summer summer NN cord-327444-y2464gjh 172 52 febrile febrile JJ cord-327444-y2464gjh 172 53 illnesses illness NNS cord-327444-y2464gjh 172 54 of of IN cord-327444-y2464gjh 172 55 children child NNS cord-327444-y2464gjh 172 56 Treatment Treatment NNP cord-327444-y2464gjh 172 57 of of IN cord-327444-y2464gjh 172 58 potentially potentially RB cord-327444-y2464gjh 172 59 life life NN cord-327444-y2464gjh 172 60 - - HYPH cord-327444-y2464gjh 172 61 threatening threaten VBG cord-327444-y2464gjh 172 62 enterovirus enterovirus NN cord-327444-y2464gjh 172 63 infections infection NNS cord-327444-y2464gjh 172 64 with with IN cord-327444-y2464gjh 172 65 pleconaril pleconaril NNP cord-327444-y2464gjh 172 66 Prolonged prolonged JJ cord-327444-y2464gjh 172 67 fever fever NN cord-327444-y2464gjh 172 68 caused cause VBN cord-327444-y2464gjh 172 69 by by IN cord-327444-y2464gjh 172 70 parvovirus parvovirus NN cord-327444-y2464gjh 172 71 B19-induced B19-induced NNP cord-327444-y2464gjh 172 72 meningitis meningitis NN cord-327444-y2464gjh 172 73 : : : cord-327444-y2464gjh 173 1 Case case NN cord-327444-y2464gjh 173 2 report report NN cord-327444-y2464gjh 173 3 and and CC cord-327444-y2464gjh 173 4 review review NN