A 4-year-lod girl is brought to the emergency room by her parents. She is lethargic, complains that her head hurts,
and shows signs of stiffness in her neck. Her mother states that she has had “a temperature” for the last 2 days,
and it is currently determined to be 104
o
F. She is admitted to the hospital, where blood is drawn and a lumbar
puncture performed.