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A CT of the head on day 6 was normal, however a repeat LP on day 7 showed persistently raised cerebrospinal fluid (CSF), white cell count (WCC), high proteins and low CSF glucose. A CSF viral PCR confirmed concurrent herpes simplex virus (HSV) type 1 for which parenteral aciclovir was started. The patient responded well to bacterial and viral anti-infective treatments and was subsequently discharged on day 16 with no neurological sequelae.<\/jats:p>","DOI":"10.1136\/bcr-2013-203395","type":"journal-article","created":{"date-parts":[[2014,4,15]],"date-time":"2014-04-15T06:43:10Z","timestamp":1397544190000},"page":"bcr2013203395","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Concurrent meningococcal and herpes simplex infection in a non-immunocompromised child"],"prefix":"10.1136","volume":"2014","author":[{"given":"Jasmin","family":"Ali","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Nevill Hall Hospital, Abergavenny, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Nevill Hall Hospital, Abergavenny, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swathi","family":"Sanapala","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Gloucesteshire Royal Hospital, Gloucester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadeem","family":"Syed","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Nevill Hall Hospital, Abergavenny, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,4,15]]},"reference":[{"key":"2025082803134430000_2014.apr15_1.bcr2013203395.1","doi-asserted-by":"publisher","DOI":"10.1007\/s11940-010-0086-5"},{"key":"2025082803134430000_2014.apr15_1.bcr2013203395.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.03.011"},{"key":"2025082803134430000_2014.apr15_1.bcr2013203395.3","doi-asserted-by":"crossref","first-page":"164","DOI":"10.3928\/00904481-20130723-11","article-title":"Prevention of meningococcal infections in the first 2 years of life","volume":"42","author":"Woods","year":"2013","journal-title":"Pediatr Ann"},{"key":"2025082803134430000_2014.apr15_1.bcr2013203395.4","first-page":"237","article-title":"Meningococcal disease: changes in epidemiology and prevention","volume":"4","author":"Chang","year":"2012","journal-title":"Clin Epidemiol"},{"key":"2025082803134430000_2014.apr15_1.bcr2013203395.5","doi-asserted-by":"publisher","DOI":"10.1586\/14760584.2013.814862"},{"key":"2025082803134430000_2014.apr15_1.bcr2013203395.6","first-page":"54","article-title":"Creating a national service for the diagnosis of meningococcal disease by polymerase chain reaction","volume":"1","author":"Kaczmarski","year":"1998","journal-title":"Commun Dis Public Health"},{"key":"2025082803134430000_2014.apr15_1.bcr2013203395.7","doi-asserted-by":"publisher","DOI":"10.1159\/000330298"},{"key":"2025082803134430000_2014.apr15_1.bcr2013203395.8","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/171.4.857"},{"key":"2025082803134430000_2014.apr15_1.bcr2013203395.9","unstructured":"Long SS Pickering LK Prober CG . 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