no focal neurological deficit .on blood examination normal, csf analysis- 1st sample cells 400, l-70%,n-20%,protein 65mg%,glucose 40 mg% 2 nd sample(after 1 week of antibiotics and ATT) csf showed cells 40 l- 90% protein 121mg% glucose 55mg%. mri normal , CXR - rt, basal pneumonitis. suggest the correct diagnosis and management
2007-02-25 02:23:48 · 5 answers · asked by dev 1 in Health ➔ Diseases & Conditions ➔ Infectious Diseases
Bacterial meningitis. I read an improvement of the CSF with antibiotic therapy, so it can continue, but if it included gentamicin, beware of ototoxicity.
2007-02-25 02:59:53 · answer #1 · answered by mbestevez 7 · 0⤊ 0⤋
CSF cells have come down, but proteins have gone up. Has the patient improved clinically? If he is better, continue with the same treatment and repeat CSF after completing 10 days' treatment. If not, send CSF for Gram staining, culture and latex agglutination, if possible. Also keep TB meningitis and cerebral malaria in mind. Brain abscess is less likely, if there are no focal signs.A CT scan of the brain will help. A complication of pyogenic meningitis is possible, like hydrocephalus or ventriculitis.
2007-02-25 12:55:43 · answer #2 · answered by yakkydoc 6 · 0⤊ 0⤋
Try another doctor. I know a girl that had an aneurism coming on, and by the time they diagnosed it, she had a stroke. She was dizzy and nauseous, bad headaches. Meningitis can give you neck stiffness. I'd go to the emergency ward son!
2007-02-25 10:44:44 · answer #3 · answered by karenhar 5 · 0⤊ 0⤋
sounds like toxic overload!!! try lymph drainage programs,,,, and inner cleansing,,, www.curezone.com plus the stiffness in neck could be backed up lymph nodes with toxin and also spine needs adjustment
2007-02-25 10:32:47 · answer #4 · answered by ... 2 · 0⤊ 0⤋
sounds like meningitis
2007-02-25 14:02:39 · answer #5 · answered by Anonymous · 0⤊ 0⤋