Pleocytosis is not fully responsible for low CSF glucose in meningitis

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Pleocytosis is not fully responsible for low CSF glucose in meningitis

Objective The mechanism of hypoglycorrhachia-low CSF glucose-in meningitis remains unknown. We sought to evaluate the relative contribution of CSF inflammation vs microorganisms (bacteria and fungi) in lowering CSF glucose levels. Methods We retrospectively categorized CSF profiles into microbial and aseptic meningitis and analyzed CSF leukocyte count, glucose, and protein concentrations. We ...

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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, 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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ژورنال

عنوان ژورنال: Neurology - Neuroimmunology Neuroinflammation

سال: 2017

ISSN: 2332-7812

DOI: 10.1212/nxi.0000000000000425