Concluded Case

is it TBM or bacterial meningitis

Interpretate CSF report.19/m comes with fever, headache,vomiting and A/s for 2 days.

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Concluded answer

History only 2 days duration ,CSF show 20 lymph,sugar low only 17 %,protein 200 mg % grams stain -ve.Low CSF sugar in acute bacterial and in TBM. Viral meningitis or encephalitis sugar will be normal or elevated. Significant reduction in the sugar needs further workup.Suggest CSF PCR for M tuberculosis ,MRI brain with contrast to check for meningeal enhancement. Emperically start antibiotics and document things.Furthrr management after CSF PCR and MRI brain.

All Answers

History only 2 days duration ,CSF show 20 lymph,sugar low only 17 %,protein 200 mg % grams stain -ve.Low CSF sugar in acute bacterial and in TBM. Viral meningitis or encephalitis sugar will be normal or elevated. Significant reduction in the sugar needs further workup.Suggest CSF PCR for M tuberculosis ,MRI brain with contrast to check for meningeal enhancement. Emperically start antibiotics and document things.Furthrr management after CSF PCR and MRI brain.

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Tubercular Meningitis

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Albumino cytological dissociation. Short duration of illness Conside Guillen Bare DD TB meningitis

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? Tubercular meningitis

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? MENINGITIS .. ? VIRAL MENINGITIS..

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Viral fever. Deworming Tab Bandy plus I tab. At bedtime. Tab. Azithromycin 500mg OD x 5 days. Tab. Vertyst 1tab.BDAC x 5day. Tab. Paracetamol 500 mg x SOS. ORS, ELETRAL. REVIEW After 5DAY.

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Tuberculous Meningitis

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It is transudate and suggestive 9f TBM

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Fungal plus viral

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