TABLE 2.
Sequential profiles of CSF from a compromised individual with C. albicans meningitis
Daya | Amphotericin B dose (g)b | Days of caspofungin use | CSF culture for C. albicansc | No. of RBC/mm3 of CSFe | No. of WBC/mm3 of CSFf | % S/M/Ld | CSF glucose level (mg/dl) | CSF protein level (mg/dl) |
---|---|---|---|---|---|---|---|---|
23 | 0 | − | 110,000 | 1,500 | 87/6/7 | 18 | 686 | |
33 | 0 | + | 5,616 | 576 | 84/0/16 | 83 | 106 | |
40 | 0 | + | 72 | 1,158 | 81/19/0 | 59 | 117 | |
43 | 0.05 | + | 58 | 145 | 72/21/7 | 74 | 78 | |
57 | 0.75 | − | 120 | 10 | 10/70/20 | 57 | 49 | |
65 | 1.15 | − | 2,080 | 20 | 65/30/5 | 65 | 109 | |
71 | 1.40 | + | 8 | 13 | 70/15/15 | 63 | 36 | |
78 | 1.80 | + | 57 | 24 | 66/34/0 | 74 | 30 | |
103 | 2.90 | 1 | + | |||||
104 | 2.95 | 2 | + | 11 | 14 | 70/12/18 | 75 | |
107 | 3.10 | 5 | ||||||
109 | 7 | − | 3,890 | 13 | 61/19/18 | 41 | 42 | |
116 | 14 | − | 0 | 35 | 72/8/20 | 45 | 50 | |
126 | 24 | − | 0 | 4 | 0/25/75 | 54 | 33 |
Day 0, the day chemotherapy was started; day 23, the first day a lumbar puncture was performed.
Cumulative dose of parenteral amphotericin B. Total cumulative dose, 3.1 g.
+ and −, positive and negative for growth of C. albicans in CSF.
Percentages of segmented neutrophils (S), monocytes (M), and lymphocytes (L), respectively.
RBC, red blood cells.
WBC, white blood cells.