Table.
CSF Studies |
||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Presenting Symptoms | Time From Myelogram to Presentation (hr) |
Temperature on Presentation |
Peripheral White Blood Cell Count (cells/mm3), % Neutrophils, % Bands |
White Cells (cells/μL), % Neutrophils |
Protein (mg/dL) |
Glucose (mg/dL) | CSF Culture | Antibiotics received (Duration in days) |
Number of Days in the Hospital‡ |
|
Case 1 | Headache, nausea, poor concentration | 20 | 37.3°C (99.2°F) | 26,800, 91.8%, 0% | 3,890, 89% | 664 | 28 | No growth† | Vancomycin/ceftriaxone (14 d) | 6 |
Case 2 | Headache, photophobia, nausea, vomiting | 14 | 36.3°C (97.3°F) | 5,780, 47.5%, 0% | 145, 87% | 129 | 61 | Viridians streptococci | Vancomycin/ceftriaxone (4 d); penicillin G (10 d) | 11 |
Case 3 | Headache, fever, confusion | 27 | 37.6°C (99.6°F) | 17,100, 77.0%, 17% | Lumbar puncture was not performed* | 10 | Vancomycin/ceftriaxone (10 d) | 10 |
Note: CSF = cerebrospinal fluid.
Lumbar puncture was not performed because admission CT scan was read as possible cerebral edema.
Case-patient received initial antibiotics ≥2 hours before lumbar puncture.
Cases 1 and 2 were admitted to an intensive care unit during a part of their hospitalization.