B Isabel Garcia

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Dr Lorna Bradbury

General Practitioner
Stillwater Medical Clinic
12 Main Street
Stillwater

23/05/2015

Dear Dr Bradbury,
Re: Ms Isabel Garcia, DOB: 01/01/1995

I am writing to update you regarding Ms Garcia who was referred with suspected meningitis.
Your further follow-up would be highly appreciated as her diagnosis is now confirmed.

On 25/05/2015, Ms Garcia was presented with neck stiffness, headache photophobia as well as
rash. On examination, bruising along with petechial rash was detected and signs of meningitis
were positive; however, she was afebrile. Thus, dexamethasone followed by empirical
antibiotics had been given before receiving results of lumber puncture and culture. According to
the lumber puncture result, an elevated WBCs count together with high protein level was
detected. On the other hand, glucose levels were low. Subsequently, microscopic examination
and culture were done which came positive for Neisseria-meningitides. Therefore, she was
commenced on benzyl penicillin which successfully improved her condition. Apart from that,
the Department of Human Services was notified as well as her family immunization was
insured.

In view of the above, I would appreciate if you would advise Ms Garcia's family on seeking
medical advice in case of any signs of an unexplained illness. Moreover, chemoprophylaxis for
her close contacts is highly recommended. In case of any queries, please contact me.

Yours sincerely,

Doctor

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