The most common pathogens associated with meningitis are listed in Table 1.Ī lumbar puncture is the usual procedure performed from which a diagnosis of bacterial vs. Since viral meningitis is often a self-limited disease, it is probably fair to assume that many cases of viral meningitis go undiagnosed and/or do not have a specific etiologic agent identified. The etiology of meningitis can be either infectious (bacteria or viral) or noninfectious (such as tumor, trauma, brain abscess, subdural empyema or pharmacologic reaction). Nurses play an important role in providing accurate information to dispel these misperceptions and decrease fear and anxiety in patients, family, staff and the public.Īlthough some types of bacterial meningitis can be catastrophic, the reality is that meningitis is a complex group of diseases with varying severities and epidemiologies. These inaccuracies include that meningitis is always infectious that the agents causing meningitis can be easily transmitted from person to person that people diagnosed with meningitis are highly infectious and that meningitis is always associated with severe complications (e.g., death). Meningitis is an anxiety-provoking topic for many health care workers who often have common misperceptions about meningitis. Broad-spectrum empiric antibiotic therapy is initiated. Bacterial meningitis is the presumptive diagnosis. The CSF analysis shows elevated opening pressure, elevated protein, low glucose (hypoglycorrhachia), cloudy fluid and a positive Gram stain. A lumbar puncture is performed to obtain cerebrospinal fluid (CSF) for analysis. The differential includes meningitis and tumor. An infectious disease physician evaluates him. Initially, the rash is considered a drug reaction to the anti-seizure medicine and the fever is considered a reaction to the chemotherapy.
He is admitted to a private room in a community hospital for adjustment of anti-seizure medication and to receive chemotherapy. is a 65-year-old male who has brain cancer. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. Considering protein of CSF the mean with SD was highest in bacterial meningitis which was 242.8☑88.09 mg/dL followed by viral meningitis which was 69.6☘4.67mg/dL (p<0.001).Ĭonclusion: In conclusion the WBC count, CSF glucose and protein are significantly differ in bacterial and viral meningitis. Again the mean with SD of glucose was lowest in bacterial meningitis which was 21.0☙.77 mg/dL followed by viral meningitis which was 63.6☒0.22 mg/dL. The mean with SD of total count of WBC was higher in bacterial meningitis (1623.1☑708.06/mm3) than viral meningitis (56.0☗3.83/mm3) (p=<0.001). Regarding the physical findings of CSF, purulent was found 21(60.0%) cases in bacterial meningitis and 14 (40.0%) cases were slightly turbid. The most of the cases of study population were in the age group 1 month to 5 years 97(84.3%) cases. Result: A total 115 clinically and laboratory confirmed meningitis patients were enrolled in this study. Tests for protein and glucose of CSF specimens were performed. After collection of CSF, physical examination, routine bed side culture and appropriate biochemical tests were performed. On the basis of cytological tests and biochemical tests of CSF the study subjects were categorized into three groups, which were identified as bacterial meningitis, viral meningitis and normal CSF.
Clinically suspected patients with meningitis from paediatrics wards of MMCH, Mymensingh, Bangladesh were included in this study. Methodology: This cross sectional study was carried out in the Department of Microbiology at Mymensingh Medical College, Mymensingh, Bangladesh from July 2010 to January 2012 for around 2 years.
Objective: The purpose of the present study was to compare of laboratory profiles of cerebrospinal fluid among bacterial and viral meningitis patients. Senior Consultant and Head, Department of Clinical Pathology, Uttara Adhunik Medical College and Hospital, Dhaka, BangladeshĪssociate Professor, Department of Microbiology, Shaheed Syed Nazrul Islam Medical College, Kishoreganj, BangladeshĬomparison laboratory profiles cerebrospinal fluid bacterial meningitis viral meningitis meningitis Abstractīackground: Laboratory profiles are important markers for the detection of meningitis. Professor & Head, Department of Microbiology, President Abdul Hamid Medical College, Kishoreganj, BangladeshĪssistant Professor (Pediatrics), Mugda Medical College, Dhaka, Bangladesh Senior Consultant (Microbiology), Imperial Hospital Limited, Chattogram, Bangladesh Assistant Professor, Department of Microbiology, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh
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