|
The next procedure performed was a spinal
tap. The results showed
an opening pressure of 140 mm Hg, a WBC count of 75 with 95% lymphocytes,
and a protein content of 51 mg/dL.
Cytology revealed
numerous atypical lymphocytes.
Although these lymphocytes did not appear to be monoclonal, the
possibility of lymphoma was raised by the cytopathologist. Adequate
specimen was not available to perform flow cytometry.
Further CSF results were obtained the following
day and included a positive VDRL, FTA-ABS, and a positive Lyme titer
by EIA. Serum was positive for RPR
and FTA-ABS. The patient was also tested for HIV and was found to
be seronegative. |
