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To add to this it causes Meningoencephalitis. Look out for confusion and brain signs mixed with signs of meningitis. Only a handful of organisms that cause both.
Am I the only one who thought portal of entry cant be through a nerve and just ignored all the nerves?
@osler_weber_rendu I thought the same... I knew it was through cribriform plate, but not that was actually through the nerve
@osler_weber_rendu yeah same here, otherwise would have been a much simpler question
In line with the thinking above, SketchyMicro teaches it as if it just passes through the cribriform plate, ignoring the nerves. Wikipedia says that it actually enters the nerves, then passes through the plate.
I think the histology was hinting at the granulomas..
Yes the histo was a granuloma.They also gave fat streaks, and mentioned ileum, and adhesions. LAY-UP!