Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-11T00:19:44.339Z Has data issue: false hasContentIssue false

Myth: Cerebrospinal fluid analysis can differentiate bacterial meningitis from aseptic meningitis

Published online by Cambridge University Press:  21 May 2015

Thomas P. Graham*
Affiliation:
Medicine/Emergency Medicine, UCLA School of Medicine, Emergency Medicine Center, Los Angeles, Calif.
*
Emergency Medicine Center, 924 Westwood Blvd., Ste. 300, Los Angeles CA 90024 USA; 310 825-1952, fax 818 776-1872, tpython@aol.com

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Medical Mythology • Mythes médicaux
Copyright
Copyright © Canadian Association of Emergency Physicians 2003

References

1.Behrman, R, Kliegman, R, Jenson, H, editors. Nelson Textbook of Pediatrics, 16th ed. Philadelphia: W.B. Saunders Company; 2000.Google Scholar
2.Spanos, A, Harrell, FE Jr, Durack, DT. Differential diagnosis of acute meningitis: an analysis of the predictive value of initial observations. JAMA 1989;262:27007.CrossRefGoogle ScholarPubMed
3.Baker, RC, Lenane, AM. The predictive value of cerebrospinal fluid differential cytology in meningitis. Pediatr Infect Dis J 1989;8:32930.Google ScholarPubMed
4.Levy, ML, Wong, E, Fried, D. Analysis of 650 lumbar punctures. Clin Pediatr 1990;29:25461.Google Scholar
5.Negrini, B, Kelleher, KJ, Wald, ER. Cerebrospinal fluid findings in aseptic versus bacterial meningitis. Pediatrics 2000;105:3169.Google Scholar
6.Michelow, IC, Nicol, M, Tiemessen, C, Chezzi, C, Pettifor, JM. Value of cerebrospinal fluid leukocyte aggregation in distinguishing the causes of meningitis in children. Pediatr Infect Dis J 2000;19:6672.Google Scholar
7.Ponka, A, Ojala, K, Teppo, AM, Weber, TH. Differential diagnosis of bacterial and aseptic meningitis using cerebrospinal fluid laboratory tests. Infection 1983;11:12931.Google Scholar
8.Jaeger, F, Leroy, J, Duchene, F, Baty, V, Baillet, S, Estavoyer, JM, et al. Validation of a diagnosis model for differentiating bacterial from viral meningitis in infants and children under 3.5 years of age. Eur J Clin Microbiol Infect Dis 2000;19:41821.CrossRefGoogle ScholarPubMed
9.Ramers, C, Billman, G, Hartin, M, Ho, S, Sawyer, MH. Impact of a diagnostic cerebrospinal fluid enterovirus polymerase chain reaction test on patient management. JAMA 2000;283:26805.CrossRefGoogle ScholarPubMed