Pneumococcal meningitis with normal cerebrospinal fluid in an immunocompetent adult

Gutiérrez-Macías, Alfonso; García-Jiménez, Nicanor; Sánchez-Muñoz, L.; Zarate, Mikel Martínez-Ortiz de

doi:10.1016/s0735-6757(99)90074-8

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Cited by 6 publications

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“…[15,21] We have noted only eight similar cases of acellular pneumococcal meningitis in the literature. [21][22][23][24][25][26][27][28] Additional markers that may assist in the diagnosis of acute bacterial meningitis exist, but their diagnostic role in the current guidelines is modest. The CSF glucose/blood glucose ratio is a simple marker that is often utilised, but it should be emphasised that it was shown to predict the presence of bacterial meningitis more precisely than routine CSF measurements.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic challenges with acellular bacterial meningitis

Moolla

Naidoo

2016

S Afr Med J

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Section: Discussionmentioning

confidence: 99%

Diagnostic challenges with acellular bacterial meningitis

Moolla

Naidoo

2016

S Afr Med J

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Cerebrospinal fluid

Jerrard¹,

Hanna²,

Schindelheim³

2001

The Journal of Emergency Medicine

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A quick and accurate diagnosis of maladies affecting the central nervous system (CNS) is imperative. Procurement and analysis of cerebrospinal fluid (CSF) are paramount in helping the clinician determine a patient's clinical condition. Various staining methods, measurement of white blood cell counts, glucose and protein levels, recognition of xanthochromia, and microbiologic studies are CSF parameters that are collectively important in the ultimate determination by a clinician of the presence or absence of a catastrophic CNS condition. Many of these CNS parameters have significant limitations that should be recognized to minimize under treating patients with catastrophic illness.

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