Meningitis case study #3 patien t a: a 73-year-old guatemalan man named francisco salazar was brought into the er by his daughter with a chief complaint of a 5-day history of fever, back and neck pain, headache, and confusion. francisco's daughter notes that they live on a dairy farm and he has a history of cirrhosis and non-insulin dependent diabetes. a lumbar puncture was performed for cerebrospinal fluid (csf) analysis. patient b: alice chen, a 6-year-old female, presented to the emergency department with a 4-day history of worsening headache and a rash on her trunk. her mother mentioned that over-the- counter medications had no effect on her headache. alice mentioned that the bright lights o the examination room hurt her eyes and she stated that her "head hurts all over." she also had difficulty trying to move her neck. a physical exam revealed some vesicular lesions on her hands feet. a lumbar puncture was also performed for cerebrospinal fluid analysis.