Viral meningitis laboratory findings: Difference between revisions
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| style="padding: 5px 5px; background: #DCDCDC;" | '''Cells/ul''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Cells/ul''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" |'''< 5''' | | style="padding: 5px 5px; background: #F5F5F5;" |'''< 5''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" |'''> | | style="padding: 5px 5px; background: #F5F5F5;" |'''>100''' | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" |'''Cells''' | | style="padding: 5px 5px; background: #DCDCDC;" |'''Cells''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" |'''Lymphos:Monos 7:3''' | | style="padding: 5px 5px; background: #F5F5F5;" |'''Lymphos:Monos 7:3''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" |''' | | style="padding: 5px 5px; background: #F5F5F5;" |'''Lymphocytes>granulocytes''' | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" |'''Total protein (mg/dl''') | | style="padding: 5px 5px; background: #DCDCDC;" |'''Total protein (mg/dl''') | ||
| style="padding: 5px 5px; background: #F5F5F5;" |'''45-60''' | | style="padding: 5px 5px; background: #F5F5F5;" |'''45-60''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" |Normal or slightly elevated | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" |'''Glucose ratio (CSF/plasma)<ref name="pmid24326618">{{cite journal| author=Chow E, Troy SB| title=The differential diagnosis of hypoglycorrhachia in adult patients. | journal=Am J Med Sci | year= 2014 | volume= 348 | issue= 3 | pages= 186-90 | pmid=24326618 | doi=10.1097/MAJ.0000000000000217 | pmc=4065645 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24326618 }} </ref>''' | | style="padding: 5px 5px; background: #DCDCDC;" |'''Glucose ratio (CSF/plasma)<ref name="pmid24326618">{{cite journal| author=Chow E, Troy SB| title=The differential diagnosis of hypoglycorrhachia in adult patients. | journal=Am J Med Sci | year= 2014 | volume= 348 | issue= 3 | pages= 186-90 | pmid=24326618 | doi=10.1097/MAJ.0000000000000217 | pmc=4065645 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24326618 }} </ref>''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" |'''> 0.5''' | | style="padding: 5px 5px; background: #F5F5F5;" |'''> 0.5''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" |>0.6 | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" |'''Lactate (mmols/l)<ref name="pmid22880096">{{cite journal| author=Leen WG, Willemsen MA, Wevers RA, Verbeek MM| title=Cerebrospinal fluid glucose and lactate: age-specific reference values and implications for clinical practice. | journal=PLoS One | year= 2012 | volume= 7 | issue= 8 | pages= e42745 | pmid=22880096 | doi=10.1371/journal.pone.0042745 | pmc=3412827 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22880096 }} </ref>''' | | style="padding: 5px 5px; background: #DCDCDC;" |'''Lactate (mmols/l)<ref name="pmid22880096">{{cite journal| author=Leen WG, Willemsen MA, Wevers RA, Verbeek MM| title=Cerebrospinal fluid glucose and lactate: age-specific reference values and implications for clinical practice. | journal=PLoS One | year= 2012 | volume= 7 | issue= 8 | pages= e42745 | pmid=22880096 | doi=10.1371/journal.pone.0042745 | pmc=3412827 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22880096 }} </ref>''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" |'''< 2.1''' | | style="padding: 5px 5px; background: #F5F5F5;" |'''< 2.1''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" |''' | | style="padding: 5px 5px; background: #F5F5F5;" |'''< 2.1''' | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" |'''Others''' | | style="padding: 5px 5px; background: #DCDCDC;" |'''Others''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" |'''ICP:6-12 (cm H2O)''' | | style="padding: 5px 5px; background: #F5F5F5;" |'''ICP:6-12 (cm H2O)''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" |Throat swap | ||
|- | |- | ||
|} | |} | ||
Revision as of 17:27, 20 April 2017
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Viral meningitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Viral meningitis laboratory findings On the Web |
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American Roentgen Ray Society Images of Viral meningitis laboratory findings |
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Risk calculators and risk factors for Viral meningitis laboratory findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Laboratory findings
Specific tests
Specific diagnostic tests include lumbar puncture with CSF examination and CSF culture. CSF examination findings in bacterial meningitis are as follows:
| Cerebrospinal fluid level | Normal level | Viral meningitis[1] |
|---|---|---|
| Cells/ul | < 5 | >100 |
| Cells | Lymphos:Monos 7:3 | Lymphocytes>granulocytes |
| Total protein (mg/dl) | 45-60 | Normal or slightly elevated |
| Glucose ratio (CSF/plasma)[2] | > 0.5 | >0.6 |
| Lactate (mmols/l)[3] | < 2.1 | < 2.1 |
| Others | ICP:6-12 (cm H2O) | Throat swap |
References
- ↑ Negrini B, Kelleher KJ, Wald ER (2000). "Cerebrospinal fluid findings in aseptic versus bacterial meningitis". Pediatrics. 105 (2): 316–9. PMID 10654948.
- ↑ Chow E, Troy SB (2014). "The differential diagnosis of hypoglycorrhachia in adult patients". Am J Med Sci. 348 (3): 186–90. doi:10.1097/MAJ.0000000000000217. PMC 4065645. PMID 24326618.
- ↑ Leen WG, Willemsen MA, Wevers RA, Verbeek MM (2012). "Cerebrospinal fluid glucose and lactate: age-specific reference values and implications for clinical practice". PLoS One. 7 (8): e42745. doi:10.1371/journal.pone.0042745. PMC 3412827. PMID 22880096.