Read the following excerpt from this patient's health record:Emergency Department Course:Manuel was driven to the emergency room by his parents. On arrival, he appeared very confused, though not agitated. With his encephalopathic picture, we were most worried about psychotropic drug abuse or infection. A normal urine drug screen and a CBC with an elevated WBC count were suspicious for infection. Because encephalitis and meningitis were the main concerns, we performed a lumbar puncture. The opening pressure was consistent with elevated intracranial pressure. The CSF showed an elevated WBC count. The culture is pending. Shortly after his lumbar puncture, Manuel had a tonic-clonic seizure. We treated him with an anticonvulsant and the seizure stopped. The electroencephalogram showed
paroxysmal lateral epileptiform discharges (PLEDs), which are characteristic of herpes encephalitis. The pediatric team was called, and they admitted him to the PICU. Which of the following is NOT true about the patient's Emergency Department course?
A. The EEG showed characteristics of an infection of the brain
B. The cerebrospinal fluid showed an elevated white blood count.
C. After his LP the patient had a seizure where the muscles first were unresponsive and then began to spasm.
D. The ED performed an LP because they were suspicious of inflammation of the brain or inflammation of the meninges.
E. The opening pressure of the LP was consistent with elevated ICP.
Answer: A
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