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reports have emphasised the severity of neurological and systemic disorder in patients with toxocaral meningoencephalitis.1 2 " Apart from neck stiffness our patient was surprisingly well with no evidence of encephalitis. Her diagnosis might have been that of an atypical viral meningitis had Romanovsky staining not been performed. We think that this investigation may be useful in culture negative meningi- tis when there are no signs of viral infection.
Fonseca et al. (Sat,) studied this question.
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