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Quick Medical Diagnosis & Treatment
Meningitis, Meningococcal
Sections: Key Features, Essentials of Diagnosis , General Considerations, Demographics, Clinical Findings, Symptoms and Signs, Differential Diagnosis, Diagnosis, Laboratory Tests, Cerebrospinal fluid analysis, Imaging Studies, Diagnostic Procedures, Treatment, Medications, Therapeutic Procedures, Outcome, Complications, Prevention, Prognosis, When to Admit, References,
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Topics Discussed: meningococcal meningitis.
Excerpt: | |  See Table 30–1
Typically, a cloudy or purulent fluid, with elevated pressure, increased protein, and decreased glucose content Usually contains more than 1000 cells/mcL, with polymorphonuclear cells predominating and containing gram-negative intracellular diplococci The absence of organisms in a Gram stained smear does not rule out the diagnosis The capsular polysaccharide can often be demonstrated in cerebrospinal fluid or urine by latex agglutination; this is especially useful in partially treated patients, though sensitivity is only 60–80% |
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