Table 1.
Definitive diagnosis of an infection | Aetiological diagnosis: culture of pathogenic bacteria in CSF or positive immunological identification of pathogenic microorganisms in CSF |
Diagnosis of a potential infection |
(1) Fever (temperature ≥ 38 °C), headache, stiff neck, meningeal signs, cranial nerve signs, and/or irritability with no other recognized cause (2) Examination of CSF released by lumbar puncture: cloudy, intracranial pressure > 200 mmH2O, white blood cell count > 50 × 106/L, glucose < 2.2 mmol/L or a CSF glucose/serum glucose ratio < 0.4, CSF protein > 0.45 g/L [9] (3) CT or MRI findings: meningitis often indicates diffuse brain oedema; ventriculitis indicates ventricular dilatation or fluid level in the ventricle; circular enhancement can be seen in brain abscesses |
CT: computed tomography; MRI: magnetic resonance imaging