Meningococcal meningitis and a negative cerebrospinal fluid: Case report and its medicolegal implications
| العنوان: | Meningococcal meningitis and a negative cerebrospinal fluid: Case report and its medicolegal implications |
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| المؤلفون: | Roy G. Beran, Dennis Cordato, William Huynh, Rajat Lahoria |
| المصدر: | Emergency Medicine Australasia. 19:553-555 |
| بيانات النشر: | Wiley, 2007. |
| سنة النشر: | 2007 |
| مصطلحات موضوعية: | Adult, Pediatrics, medicine.medical_specialty, Time Factors, medicine.diagnostic_test, Lumbar puncture, business.industry, Neisseria meningitidis, Meningitis, Meningococcal, medicine.disease, medicine.disease_cause, Clinical Practice, Cerebrospinal fluid, Immunology, Female patient, Emergency Medicine, medicine, Meningococcal meningitis, Humans, Female, Bacterial meningitis, business, Meningitis |
| الوصف: | A normal result on the initial cerebrospinal fluid (CSF) study has been traditionally used to exclude the potential diagnosis of bacterial meningitis. However, there have been a number of case studies of bacterial meningitis confirmed by CSF culture, in which an initial lumbar puncture yielded completely normal parameters. A review of the literature reports the frequency of this scenario to arise in 0.5% to 12% of cases. This might result in the delay of appropriate treatment for this potentially fatal condition. We report a 21-year-old female patient who presented with a clinical picture compatible with bacterial meningitis but with a normal initial CSF result. Neisseria meningitidis was later cultured from her CSF. The medicolegal aspects surrounding such a scenario, and its implications towards clinical practice are discussed. We conclude that an abnormal initial CSF study might indicate a diagnosis of bacterial meningitis but a normal result does not exclude it and should not delay early institution of appropriate antimicrobial therapy. |
| تدمد: | 1742-6723 1742-6731 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ce1201f0ed0b63d8eaf74efd9425eeddTest https://doi.org/10.1111/j.1742-6723.2007.01032.xTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....ce1201f0ed0b63d8eaf74efd9425eedd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17426723 17426731 |
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