The clinical features are similar to those of acute general lepto-meningitis, and in sporadic cases the diagnosis is only completed by discovering the diplococcus intracellularis in the fluid withdrawn by lumbar puncture.
"Manual of Surgery Volume Second: Extremities--Head--Neck. Sixth Edition."
Alexander Miles Alexis Thomson
The absence of the diplococcus intracellularis helps to differentiate the disease from cerebro-spinal meningitis, which it may closely simulate.
"Manual of Surgery Volume Second: Extremities--Head--Neck. Sixth Edition."
Alexander Miles Alexis Thomson