Meningitis 10 questions课件.ppt

Meningitis – Who was awake? To correct CSF protein concentrations for blood in the CSF the proper ratio is approximately 0.01 gm/L of protein for every 100 RBC’s True False Meningitis – Who was awake? To correct CSF protein concentrations for blood in the CSF the proper ratio is approximately 0.01 gm/L of protein for every 100 RBC’s True False Meningitis – Who was awake? Which of the following are true about cryptococcal meningitis? a. A normal CSF effectively rules out cryptococcal meningitis b. If the CSF pressure is elevated one should not remove more than 10 ml at a time c. Everyone with HIV infection is at increased risk for cryptococcal meningitis. Meningitis – Who was awake? Which of the following are true about cryptococcal meningitis? a. A normal CSF effectively rules out cryptococcal meningitis b. If the CSF pressure is elevated one should not remove more than 10 ml at a time c. Everyone with HIV infection is at increased risk for cryptococcal meningitis. None Meningitis: References 1. Gopal AK, Whitehouse JD, Simel DL, Corey GR. Cranial computed tomography before lumbar puncture. A prospective clinical evaluation. Arch Intern Med. 1999;159:2681-5 2. Hasbun R, Abrahams J, Jekel J, Quagliarello VJ. Computed tomography of the head before lumbar puncture in adults with suspected meningitis. N Engl J Med 2001:345:1727-33 3. Blazer S, Berant M. Bacterial meningitis: Effect of antibiotic treatment on spinal fluid. Am J Clin Pathol. 1983;80:386 4. de Gans J, van de Beek D. N Eng J Med. 2002;347:1549-56 5. Hussein AS, Shafran SD. Acute bacterial meningitis in adults. Medicine 2000;79:360-68 6. Aronin S, Peduzzi P, Quagliarello VJ. Community acquired bacterial meningitis: Risk stratification for adverse clinical outcome and effect of antibiotic timing. Ann Intern Med 1998;129:862 MeningitisCommonly Asked Questions Stephen J. Gluckman, M.D. What are normal CSF findings? Protein 0.45 gm/L Elevated with Diabetes Elevated with neuropathies of any