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Diagnosis

A diagnosis of meningitis depends primarily on a thorough physical examination and cerebrospinal fluid (CSF) analysis.

In the physical examination stiff neck, severe headache, and fever indicate meningitis. It may be extremely painful to move the neck forward. The neck may be so stiff that attempting to move it causes the entire body to move. Other signs the physician may look for include swelling in the eyes, which indicates elevated intracranial pressure, and skin rash

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