Coxsackie group A does not cause ?
High-Yield Explanation
Ans. is 'b' i.e., Aseptic meningitis. Aseptic meningitis is caused by all types group B Coxackies viruses and by many group 'A' Coxsakie viruses most commonly A7 and A9.History of fever and headache with neck stiffness suggest the diagnosis of meningitis. C'SF analysis findings of increased opening pressure, mildly increased proteins, normal glucose, increased lymphocytes are highly suggestive of viral (Coxsackie virus) meningitis. Meningitis with normal glucose is highly suggestive of viral meningitisTypical CSF Profiles for Meningitis NormalBacterialMeningitisViral MeningitisFungalMeningitisParasiticMeningitisTuberculousMeningitisWBC count (perpL)<5>1000deg25-500deg40-600150-200025-100Differential of WBC60-70%lympho-cytes, 30%monocytes /macrophagesTiPMNsdeg(N30%)PredominantlylymphocytesdegLymphocytesor PMNs,dependingon specificorganismTTEosinophils(50deg/0)PredominantlylymphocytesdegGram's stainNegativePositivedeg (in>60% of cases)NegativedegRarely positiveNegativeOccasionallypositivedegGlucose (mg/dL)40-85<40degNormaldegI to normalNormalcasesdegProtein (mg/dL)15-45>100deg20-80deg150-30050-200100-200QOpening pressure(mm H20)50-180>300deg100-350deg160-340Normal150-280degAbout other options. Acute hemorrhagic conjuctivitis can be caused by Coxsackie virus A-24, but it is not common. Mostly it is caused by enterovirus - 70.. Myocarditis and hepatitis are mainly caused by Coxsackie virus group B.