Table 1. Clinical and laboratory findings associated with infectious versus aseptic meningitis1 19 .
Bacterial meningitis | Aseptic meningitis | |
---|---|---|
Symptoms | Meningismus: nuchal rigidity, photophobia, headache, mental status change | Meningismus: nuchal rigidity, photophobia, headache, mental status change |
Fever | > 102°F | < 102°F |
CSF rhinorrhea | Potentially present | Absent |
CSF culture/gram stain | Positive | Negative |
CSF lactate | > 35 mg/dL (sensitivity 0.93, specificity 0.99) | < 35 mg/dL |
CSF WBC | > 6,000 cells/μL | < 2,000 cells/μL |
CSF glucosea | < 20 mg/dL | Normal |
CSF protein | Not statistically different | Not statistically different |
Abbreviations: CSF, cerebrospinal fluid; WBC, white blood cells.
In nondiabetic patients.