Bacterial meningitis is suggested when there is: • polymorphicleucocytosis • low CSF glucose relative to the plasma value • raised CSF protein concentration. An urgentGram stainand microbiological culture are mandatory. The Gram stain is positive in approximately 50–60% of cases. A CSF exa...
Given the high suspicion for meningitis , a lumbar puncture was performed on the day of admission. The cerebrospinal fluid (CSF) analysis showed 89 white blood cells per millimeter 3 with lymphocytic predominance (81%), high protein (84 g/dL), and low glucose (45 mg/dL). Gram stain was...
Four patients did not have the etiologic agent of meningitis defined, three of whom had previously used antibiotics, such as cephalothin, ceftriaxone, and clindamycin. Table 3. Laboratory characteristics of CSF of each patient with diagnosis of SCA and bacterial meningitis. CaseCSF WBCCSF glucose...
(total protein and total glucose concentrations) parameters indicated potential meningitis cases, while these parameters were within normal healthy ranges in remaining 50 samples. Latex particle agglutination (LPA) was performed on the 33 samples, revealing 20 positive cases of bacterial meningitis. The ...
Community-acquired meningitis patients showed higher CSF protein levels (P = 0.005) and lower CSF glucose levels (P = 0.002) than healthcare-related meningitis patients, although CSF WBC counts did not significantly differ between the two groups. In blood tests, thrombocytopenia, with a ...
Bacterial meningitis is a medical emergency. A firm diagnosis is usually made when bacteria are isolated from the cerebrospinal fluid (CSF) and evidence of meningeal inflammation is demonstrated by increased pleocytosis, elevated protein level, and low glucose level in the CSF....
PRIMER Community-acquired bacterial meningitis Diederik van de Beek1, Matthijs Brouwer1, Rodrigo Hasbun2, Uwe Koedel3, Cynthia G. Whitney4 and Eelco Wijdicks5 Abstract | Meningitis is an inflammation of the meninges and subarachnoid space that can also involve the brain cortex and ...
In multivariate analysis, 7 independent predictors of unfavourable outcome were identified: internal comorbidity, time to treatment >48 h, coma, hypotension, high CSF protein, low glucose ratio, and non-meningococcal aetiology. The results suggest that acute bacterial meningitis remains associated with ...
Prognostic factors for adverse outcomes were impaired consciousness, dyspnoea, seizures, delayed presentation, and absence of electricity at home (Simple Luanda Scale, SLS); the Bayesian Luanda Scale (BLS) also included abnormally low or high blood glucose. Conclusions New studies concerning the ...
Patients were eligible if they were aged at least 18 years and had a suspected or proven bacterial meningitis by either (1) cerebrospinal fluid (CSF) white blood cell count of more than 100/µL and glucose CSF/blood ratio of less than one-third, (2) a CSF protein concentration of ...