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. 2018 Jan 24;56(2):e01492-17. doi: 10.1128/JCM.01492-17

TABLE 2.

Case study of clinical CSF specimens that were culture negative and tested positive by multiplex LightMix RT-PCR

Case study Sample Multiplex RT-PCR result Microscopic examination result Clinical feature(s)
70-year-old female CSF S. pneumoniae Cytospin preparations showed mononuclear and polymorphonuclear leukocytes (cell count of >103/ml) Clinical suspicion of pneumococcal sepsis
No bacteria were detected by microscopic examination Patient under antibiotic treatment
39-year-old male CSF S. pneumoniae Cytospin preparations showed mononuclear and polymorphonuclear leukocytes (cell count of >103/ml) Clinical suspicion of pneumococcal meningitis
No bacteria were detected by microscopic examination Patient under antibiotic treatment
58-year-old male CSF S. agalactiae Cytospin preparations showed mononuclear and polymorphonuclear leukocytes (cell count of >103/ml) Clinical suspicion of meningoencephalitis
No bacteria were detected by microscopic examination Patient under antibiotic treatment
26-year-old male CSF N. meningitidis Cytospin preparations showed mononuclear and polymorphonuclear leukocytes (cell count of >103/ml) Clinical suspicion of meningococcal meningitis
Gram-negative diplococci were detected by microscopic examination Patient under antibiotic treatment