Meningitis remained a ‘differential diagnosis’, the court heard, but the nurse said her physical examination of Lila, and Lila’s blood test results, suggested the symptoms came from tonsillitis.

On examination in the hospital positive physical findings were limited to fever and stiffness of the neck in most cases. Reflex changes were uncommon and evanescent when present.

Meningitis remained a ‘differential diagnosis’, the court heard, but the nurse said her physical examination of Lila, and Lila’s blood test results, suggested the symptoms came from tonsillitis.

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