Lumbar punctures, meningitis, and persisting pleocytosis.

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Lumbar punctures, meningitis, and persisting pleocytosis.

A retrospective survey of children with haemophilus and pneumococcal meningitis was carried out to assess the significance of persistent CSF pleocytosis and the need for repeat lumbar punctures after adequate treatment. Persistent pleocytosis was noted in 9 of 27 patients with haemophilus meningitis; this tended to be present in those with higher initial CSF white blood counts and lower initial...

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Repeat lumbar punctures in the diagnosis of meningitis.

Meningitis may be difficult to diagnose. If it is suspected clinically and a first lumbar puncture is normal, a second cerebrospinal fluid (CSF) sample may be required within a few hours to confirm the diagnosis. A child is presented in whom CSF was normal 14 hours after the onset of illness, but who 14 hours later showed the characteristic changes of purulent meningitis. This case differs from...

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Enterovirus meningitis with marked pleocytosis.

Case Series: Patient 1 was a 30-day-old female who presented with a fever of 102°F and increased irritability for 1 day. She was admitted to the hospital for an evaluation including complete blood cell count (CBC), blood culture, urine culture, urinalysis, and lumbar puncture (LP). Ampicillin, gentamicin, and acyclovir were initiated. Admission laboratory data included peripheral white blood ce...

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Enteroviral meningitis without pleocytosis in children.

OBJECTIVES This study aims to describe the clinical characteristics of enteroviral meningitis in association with the absence of cerebrospinal fluid (CSF) pleocytosis. DESIGN This was a retrospective analysis of databases of patients diagnosed with enteroviral meningitis by CSF reverse transcription-PCR testing. Presence of CSF non-pleocytosis at each age group was analysed by use of the two ...

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Lumbar punctures don't kill people.

We moved her near the oxygen, a sure sign of impending death at our small hospital in Uganda. She was so still, a photograph. A soft fuzz of hair had escaped her red-streaked braids. It formed a halo around the top of her head, as if she had moved while the camera shutter clicked and was forever cursed with a touch of blur. Her lower eyelids dropped down, sagging from the effort and offering a ...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 1979

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.54.10.792