Differential Diagnosis of Acute Meningitis: An Analysis of the Predictive Value of Initial Observations

Differential Diagnosis of Acute Meningitis: An Analysis of the Predictive Value of Initial Observations

Alan Spanos;Frank E. Harrell;David T. Durack;
JAMA 1989 Vol. 262 pp. 2700-2707
96
spanos1989jamadifferential

Abstract

We analyzed data from the records of 422 patients with acute bacterial or viral meningitis. A cerebrospinal fluid (CSF) glucose level less than 1.9 mmol/L, a CSF-blood glucose ratio less than 0.23, a CSF protein level greater than 2.2 g/L, more than 2000 × 10 6 /L CSF leukocytes, or...

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