Final answer:
The described symptoms and lumbar puncture findings indicate that the patient has meningitis, an inflammation of the meninges which is a serious medical condition requiring immediate treatment.
Step-by-step explanation:
Based on the symptoms described, including headache, neck stiffness, photosensitivity, fever, positive Brudzinski, positive Kernig, and the lumbar puncture (LP) findings of elevated neutrophils, and low glucose, the correct answer to the patient’s condition is D) Meningitis.
Meningitis is an inflammation of the meninges, the protective membranes that cover the brain and spinal cord. Symptoms often include severe headache, fever, photophobia (increased sensitivity to light), and neck stiffness. In bacterial meningitis, which is indicated by the abnormal CSF findings of elevated polymorphonuclear neutrophils (PMNs), low glucose, and typically high protein, prompt medical attention is critical as it can be potentially life-threatening and requires emergency antibiotic treatment.
It is not a headache disorder like migraine, tension, or cluster headaches as these do not induce severe systemic symptoms like fever or altered CSF findings, making choices A, B, and C incorrect.