SudaMediCa, The Sudanese Medical Community

A 43-year-old Asian man presents with headache and neck stiffness. CT brain is normal and a lumbar puncture is performed with the following results

Serum glucose: 4.7 mmol/l

Lumbar puncture reveals:

• Opening pressure: 15 cmCSF
• Appearance: Cloudy
• Glucose: 3.3 mmol/l
• Protein: 0.7 g/l
• White cells: 100 / mm³ (70% lymphocytes)

• A. Bacterial meningitis.
  B. Viral meningitis.
  C. Tuberculous meningitis.
  D. Normal CSF result.
  E. Cryptococcal meningitis.

B. Viral Meningitis

The CSF lymphocytosis combined with a glucose greater than half the serum level points towards a viral meningitis. TB meningitis is associated with a low CSF glucose

Meningitis: CSF analysis

Bacterial
Appearance Cloudy
Glucose Low (< 1/2 plasma)
Protein High (> 1 g/l)
White cells 10 - 5,000 polymorphs/mm³

Viral
Appearance Clear/cloudy
Glucose Normal*
Protein Normal/raised
White cells 15 - 1,000 lymphocytes/mm³

Tuberculous
Appearance Fibrin web
Glucose Low (< 1/2 plasma)
Protein High (> 1 g/l)
White cells 10 - 1,000 lymphocytes/mm³


*mumps is unusual in being associated with a low glucose level in a proportion of cases. A low glucose may also be seen in herpes encephalitis

E. Cryptococcal meningitis.

The answer is: Viral Meningitis

viral mengitis

salmak.z. wrote:hello all members. i`m new here so excuse me for any mistakes.
i` wana know where can i send new q?? as a replay or how is it done
thax.

Please check this to know how:
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