Characterization of Chemical Meningitis after Neurological Surgery

We reviewed the records of 70 consecutive adult patients with meningitis after a neurosurgical procedure, to determine the characteristics that might help to distinguish a sterile postoperative chemical meningitis from bacterial infection. The spinal fluid profiles in bacterial and chemical meningit...

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Veröffentlicht in:	Clinical infectious diseases 2001-01, Vol.32 (2), p.179-185
Hauptverfasser:	Forgacs, Pierre, Geyer, Carl A., Freidberg, Stephen R.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Antibiotics Aseptic meningitis Bacterial meningitis Biological and medical sciences Blood Central Nervous System - surgery Cerebrospinal fluid Cerebrospinal Fluid Otorrhea - diagnosis Cerebrospinal Fluid Rhinorrhea - diagnosis Diagnosis, Differential Female Fever Fever - etiology Glucose - cerebrospinal fluid Haemophilus meningitis Humans Leukocyte Count Lumbar punctures Major Article Male Medical sciences Meningitis - cerebrospinal fluid Meningitis - diagnosis Meningitis, Bacterial - diagnosis Nervous system involvement in other diseases. Miscellaneous Neurology Neurosurgery Neurosurgical Procedures Postoperative Complications - cerebrospinal fluid Postoperative Complications - diagnosis Postoperative Complications - etiology Time Factors
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Zusammenfassung:	We reviewed the records of 70 consecutive adult patients with meningitis after a neurosurgical procedure, to determine the characteristics that might help to distinguish a sterile postoperative chemical meningitis from bacterial infection. The spinal fluid profiles in bacterial and chemical meningitis are similar. The exceptions are that a spinal fluid white blood cell count >7500/µL (7500 × 106/L) and a glucose level of 39.4°C or cerebrospinal fluid rhinorrhea or otorrhea.
ISSN:	1058-4838 1537-6591
DOI:	10.1086/318471