Bacterial meningitis differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
Aysha Aslam (talk | contribs) |
Aysha Aslam (talk | contribs) |
||
| Line 6: | Line 6: | ||
==Differential diagnosis== | ==Differential diagnosis== | ||
===Differentiating bacterial meningitis from other causes of meningitis=== | ===Differentiating bacterial meningitis from other causes of meningitis=== | ||
{| | |||
|-style="background:silver; color:black" | |||
| '''Cerebrospinal Fluid''' || || || || || | |||
|-style="background:silver; color:black" | |||
| || '''Normal Levels''' || '''Acute Bacterial M.''' || '''Acute Viral M.''' || '''TB M.''' || '''Neuroborreliosis''' | |||
|- style="background:silver; color:black" | |||
| '''Cells/ul''' || '''< 5''' || '''In the 1000s''' || '''In the 100s''' || '''In the 100s''' || '''Some 100''' | |||
|-style="background:silver; color:black" | |||
| '''Cells''' || '''Lymph:Monos 7:3''' || '''Gran. > Lymph.''' || '''Lymph. > Gran.''' || '''Various leukos''' || '''Lymph. monocytic''' | |||
|-style="background:silver; color:black" | |||
| '''Total Protein (mg/dl)''' || '''45-60''' || '''Typically 100-500''' || '''Typically normal''' || '''Typically 100-200''' || '''Typically up to 350''' | |||
|-style="background:silver; color:black" | |||
| '''Glucose Ratio (CSF/plasma)''' || '''Typically > 0.5''' || '''< 0.3''' || '''> 0.6''' || '''< 0.5''' || '''Normal''' | |||
|-style="background:silver; color:black" | |||
| '''Lactate (mmol/l)''' || '''< 2.1''' || '''> 2.1''' || '''< 2.1''' || '''> 2.1''' || '''-''' | |||
|-style="background:silver; color:black" | |||
| '''Others''' || '''ICP: 6-22 (cm H2O)''' || || '''PCR of HSV-DNA''' || '''PCR of TBC-DNA''' || '''IgG/IgM <br> CSF/Serum Ratio''' | |||
|} | |||
===Differentiating bacterial meningitis from other diseases=== | ===Differentiating bacterial meningitis from other diseases=== | ||
Revision as of 23:37, 9 January 2017
|
Bacterial meningitis Microchapters |
|
Diagnosis |
|
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
Differential diagnosis
Differentiating bacterial meningitis from other causes of meningitis
| Cerebrospinal Fluid | |||||
| Normal Levels | Acute Bacterial M. | Acute Viral M. | TB M. | Neuroborreliosis | |
| Cells/ul | < 5 | In the 1000s | In the 100s | In the 100s | Some 100 |
| Cells | Lymph:Monos 7:3 | Gran. > Lymph. | Lymph. > Gran. | Various leukos | Lymph. monocytic |
| Total Protein (mg/dl) | 45-60 | Typically 100-500 | Typically normal | Typically 100-200 | Typically up to 350 |
| Glucose Ratio (CSF/plasma) | Typically > 0.5 | < 0.3 | > 0.6 | < 0.5 | Normal |
| Lactate (mmol/l) | < 2.1 | > 2.1 | < 2.1 | > 2.1 | - |
| Others | ICP: 6-22 (cm H2O) | PCR of HSV-DNA | PCR of TBC-DNA | IgG/IgM CSF/Serum Ratio |