Bacterial meningitis lumbar puncture: Difference between revisions
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===Indications of lumbar puncture=== | ===Indications of lumbar puncture=== | ||
===Findings of lumbar puncture in bacterial meningitis=== | ===Findings of lumbar puncture in bacterial meningitis=== | ||
Following CSF findings may suggest bacterial meningitis: | Following CSF findings may suggest bacterial meningitis:<ref name="pmid12432041">{{cite journal| author=de Gans J, van de Beek D, European Dexamethasone in Adulthood Bacterial Meningitis Study Investigators| title=Dexamethasone in adults with bacterial meningitis. | journal=N Engl J Med | year= 2002 | volume= 347 | issue= 20 | pages= 1549-56 | pmid=12432041 | doi=10.1056/NEJMoa021334 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12432041 }} [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12725615 Review in: ACP J Club. 2003 May-Jun;138(3):60] </ref><ref name="pmid8416268">{{cite journal| author=Durand ML, Calderwood SB, Weber DJ, Miller SI, Southwick FS, Caviness VS et al.| title=Acute bacterial meningitis in adults. A review of 493 episodes. | journal=N Engl J Med | year= 1993 | volume= 328 | issue= 1 | pages= 21-8 | pmid=8416268 | doi=10.1056/NEJM199301073280104 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8416268 }} </ref> | ||
*A pressure of over 180 mmH2O | *A pressure of over 180 mmH2O <ref name="pmid12432041">{{cite journal| author=de Gans J, van de Beek D, European Dexamethasone in Adulthood Bacterial Meningitis Study Investigators| title=Dexamethasone in adults with bacterial meningitis. | journal=N Engl J Med | year= 2002 | volume= 347 | issue= 20 | pages= 1549-56 | pmid=12432041 | doi=10.1056/NEJMoa021334 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12432041 }} [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12725615 Review in: ACP J Club. 2003 May-Jun;138(3):60] </ref><ref name="pmid8416268">{{cite journal| author=Durand ML, Calderwood SB, Weber DJ, Miller SI, Southwick FS, Caviness VS et al.| title=Acute bacterial meningitis in adults. A review of 493 episodes. | journal=N Engl J Med | year= 1993 | volume= 328 | issue= 1 | pages= 21-8 | pmid=8416268 | doi=10.1056/NEJM199301073280104 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8416268 }} </ref> | ||
*CSF cell count in 1000s. | *CSF cell count in 1000s. | ||
*Granulocytes > lymphocytest | *Granulocytes > lymphocytest | ||
Revision as of 19:41, 9 January 2017
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Bacterial meningitis Microchapters |
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Diagnosis |
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Treatment |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
Lumbar puncture
Indications of lumbar puncture
Findings of lumbar puncture in bacterial meningitis
Following CSF findings may suggest bacterial meningitis:[1][2]
- A pressure of over 180 mmH2O [1][2]
- CSF cell count in 1000s.
- Granulocytes > lymphocytest
- Elevated protein may range between 100-500mg/dl
- Glucose ratio(CSF/plasma)<0.3
- CSF lactate >2.1mmol/l
Contraindications of lumbar puncture
References
- ↑ 1.0 1.1 de Gans J, van de Beek D, European Dexamethasone in Adulthood Bacterial Meningitis Study Investigators (2002). "Dexamethasone in adults with bacterial meningitis". N Engl J Med. 347 (20): 1549–56. doi:10.1056/NEJMoa021334. PMID 12432041. Review in: ACP J Club. 2003 May-Jun;138(3):60
- ↑ 2.0 2.1 Durand ML, Calderwood SB, Weber DJ, Miller SI, Southwick FS, Caviness VS; et al. (1993). "Acute bacterial meningitis in adults. A review of 493 episodes". N Engl J Med. 328 (1): 21–8. doi:10.1056/NEJM199301073280104. PMID 8416268.