Cerebrospinal Fluid C-Reactive Protein Measurement--A Bedside Test in the Rapid Diagnosis of Bacterial Meningitis

Autor: Ragini Macaden, D. M. Meundi, T. S. Raghuveer, M. John, M. Yeswanth, I. S. Raj
Rok vydání: 1990
Předmět:
Zdroj: Journal of Tropical Pediatrics. 36:213-217
ISSN: 1465-3664
0142-6338
Popis: C-reactive protein (C-RP) determinations were performed by the Latex agglutination method on the cerebrospinal fluid (CSF) samples of 212 patients with clinical features suggestive of meningitis. Patients were grouped as follows Group I: bacterial meningitis and partially treated bacterial meningitis (n = 22). Group II: viral encephalitis (n = 11). Group III: tuberculous meningitis (n = 18). Group IV: (i) febrile convulsions (n = 87); (ii) epileptic seizures (n = 70); (iii) intracranial haemorrhage (n = 4). C-RP was a better indicator of bacterial meningitis (sensitivity 91 per cent) than the Gram's stain (sensitivity 46 per cent). C-RP was positive in 91 per cent of patients in Group I, none in Groups II and III and 0.6 per cent in Group IV. C-RP determination in CSF proved to be a useful indicator of bacterial meningitis and served to distinguish it from viral encephalitis, tuberculous meningitis, febrile convulsions and other central nervous system disorders.
Databáze: OpenAIRE