Abstract
Cerebrospinal fluid specimens from patients with tuberculous (17 cases), cryptococcal (15 cases), and viral (14 cases) meningitis were analyzed by frequency-pulsed electron capture gas-liquid chromatography and mass spectrometry. Compounds that disappeared after therapy were found to be present in each of these specimens and were not detected in controls. They occurred in repetitive patterns such that these three types of meningitis could be rapidly distinguished. The compound associated with tuberculous meningitis has been tentatively identified. These finding have implications for rapid diagnosis, pathophysiological studies, and possible new therapeutic approaches.
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Selected References
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- Alley C. C., Brooks J. B., Choudhary G. Electron capture gas-liquid chromatography of short chain acids as their 2,2,2-trichloroethyl esters. Anal Chem. 1976 Feb;48(2):387–390. doi: 10.1021/ac60366a038. [DOI] [PubMed] [Google Scholar]
- Amundson S., Braude A. I., Davis C. E. Rapid diagnosis of infection by gas-liquid chromatography: analysis of sugars in normal and infected cerebrospinal fluid. Appl Microbiol. 1974 Aug;28(2):298–302. doi: 10.1128/am.28.2.298-302.1974. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brooks J. B., Alley C. C., Jones R. Reaction of nitrosamine with fluorinated anhydrides and pyridine to form electron capturing derivatives. Anal Chem. 1972 Sep;44(13):1881–1886. doi: 10.1021/ac60319a058. [DOI] [PubMed] [Google Scholar]
- Brooks J. B., Alley C. C., Weaver J. W., Green V. E., Harkness A. M. Practical methods for derivatizing and analyzing bacterial metabolites with a modified automatic injector and gas chromatograph. Anal Chem. 1973 Oct;45(12):2083–2087. doi: 10.1021/ac60334a022. [DOI] [PubMed] [Google Scholar]
- Brooks J. B., Cherry W. B., Thacker L., Alley C. C. Analysis by gas chromatography of amines and nitrosamines produced in vivo and in vitro by Proteus mirabilis. J Infect Dis. 1972 Aug;126(2):143–153. doi: 10.1093/infdis/126.2.143. [DOI] [PubMed] [Google Scholar]
- Brooks J. B., Choudhary G., Craven R. B., Alley C. C., Liddle J. A., Edman D. C., Converse J. D. Electron capture gas chromatography detection and mass spectrum identification of 3-(2'-ketohexyl)indoline in spinal fluids of patients with tuberculous meningitis. J Clin Microbiol. 1977 Jun;5(6):625–628. doi: 10.1128/jcm.5.6.625-628.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brooks J. B., Kellogg D. S., Alley C. C., Short H. B., Handsfield H. H., Huff B. Gas chromatography as a potential means of diagnosing arthritis. I. Differentiation between staphylococcal, streptococcal, gonococcal, and traumatic arthritis. J Infect Dis. 1974 Jun;129(6):660–668. doi: 10.1093/infdis/129.6.660. [DOI] [PubMed] [Google Scholar]
- Brooks J. B., Kellogg D. S., Thacker L., Turner E. M. Analysis by gas chromatography of fatty acids found in whole cultural extracts of Neisseria species. Can J Microbiol. 1971 Apr;17(4):531–543. doi: 10.1139/m71-088. [DOI] [PubMed] [Google Scholar]
- Brooks J. B., Kellogg D. S., Thacker L., Turner E. M. Analysis by gas chromatography of hydroxy acids produced by several species of Neisseria. Can J Microbiol. 1972 Feb;18(2):157–168. doi: 10.1139/m72-026. [DOI] [PubMed] [Google Scholar]
- Brooks J. B., Moore W. E. Gas chromatographic analysis of amines and other compounds produced by several species of Clostridium. Can J Microbiol. 1969 Dec;15(12):1433–1447. doi: 10.1139/m69-257. [DOI] [PubMed] [Google Scholar]
- Brooks J. B., Moss C. W., Dowell V. R. Differentiation between Clostridium sordellii and Clostridi- um bifermentans by gas chromatography. J Bacteriol. 1969 Oct;100(1):528–530. doi: 10.1128/jb.100.1.528-530.1969. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brooks J. B., Weaver R. E., Tatum H. W., Billingsley S. A. Differentiation between Pseudomonas testosteroni and P. acidovorans by gas chromatography. Can J Microbiol. 1972 Sep;18(9):1477–1482. doi: 10.1139/m72-226. [DOI] [PubMed] [Google Scholar]
- Cherry W. B., Moss C. W. The role of gas chromatography in the clinical microbiology laboratory. J Infect Dis. 1969 Jun;119(6):658–662. doi: 10.1093/infdis/119.6.658. [DOI] [PubMed] [Google Scholar]
- Greenlee J. E., Johnson W. D., Jr, campa J. F., Adelman L. S., Sande M. A. Adult toxoplasmosis presenting as polymyositis and cerebellar ataxia. Ann Intern Med. 1975 Mar;82(3):367–371. doi: 10.7326/0003-4819-82-3-367. [DOI] [PubMed] [Google Scholar]
- Mitruka B. M., Alexander M. Ultrasensitive detection of certain microbial metabolites by gas chromatography. Anal Biochem. 1967 Sep;20(3):548–550. doi: 10.1016/0003-2697(67)90300-4. [DOI] [PubMed] [Google Scholar]
- Mitruka B. M., Carmichael L. E., Alexander M. Gas chromatographic detection of in vitro and in vivo activities of certain canine viruses. J Infect Dis. 1969 Jun;119(6):625–634. doi: 10.1093/infdis/119.6.625. [DOI] [PubMed] [Google Scholar]
- Morse C. D., Brooks J. B., Kellogg D. S., Jr Electron capture gas chromatographic detection of acethylmethylcarbinol produced by neisseria gonorrhoeae. J Clin Microbiol. 1976 Jan;3(1):34–41. doi: 10.1128/jcm.3.1.34-41.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moss C. W., Cherry W. B. Characterization of the C15 branched-chain fatty acids of Corynebacterium acnes by gas chromatography. J Bacteriol. 1968 Jan;95(1):241–242. doi: 10.1128/jb.95.1.241-242.1968. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moss C. W., Kaltenbach C. M. Production of glutaric acid: a useful criterion for differentiating Pseudomonas diminuta from Pseudomonas vesiculare. Appl Microbiol. 1974 Feb;27(2):437–439. doi: 10.1128/am.27.2.437-439.1974. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moss C. W., Kellogg D. S., Jr, Farshy D. C., Lambert M. A., Thayer J. D. Cellular fatty acids of pathogenic Neisseria. J Bacteriol. 1970 Oct;104(1):63–68. doi: 10.1128/jb.104.1.63-68.1970. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moss C. W., Lambert M. A., Merwin W. H. Comparison of rapid methods for analysis of bacterial fatty acids. Appl Microbiol. 1974 Jul;28(1):80–85. doi: 10.1128/am.28.1.80-85.1974. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moss C. W., Samuels S. B., Liddle J., McKinney R. M. Occurrence of branched-cahin hydroxy fatty acids in Pseudomonas maltophilia. J Bacteriol. 1973 Jun;114(3):1018–1024. doi: 10.1128/jb.114.3.1018-1024.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moss C. W., Samuels S. B., Weaver R. E. Cellular fatty acid composition of selected Pseudomonas species. Appl Microbiol. 1972 Oct;24(4):596–598. doi: 10.1128/am.24.4.596-598.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schlossberg D., Brooks J. B., Shulman J. Possibility of diagnosing meningitis by gas chromatography: cryptococcal meningitis. J Clin Microbiol. 1976 Mar;3(3):239–245. doi: 10.1128/jcm.3.3.239-245.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
