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BMJ Case Rep. 2010; 2010: bcr0120102635.
Published online 2010 September 29. doi:  10.1136/bcr.01.2010.2635
PMCID: PMC3029563
Reminder of important clinical lesson

Enterovirus—a double act


This case report describes twins presenting approximately 24 h apart both with enterovirus meningoencephalitis. The presenting symptoms are described along with laboratory results. Both had extremely high white cell counts in cerebrospinal fluid, which were predominantly lymphocytes. Clinical course and outcomes are described. There was a potential delay in diagnosis of the second twin given the pathology of the twin sibling and the symptoms presented.

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