[The cerebrospinal fluid in bacterial meningitis].
Samples of 1815 cerebrospinal fluid (CSF) were studied in a meningitis outbreak during 1989 in São Paulo, Brazil. Neisseria meningitis 56% with 44% type B, Haemophilus influenzae 17%, from which 72% in children (days to 3-year-old) and Streptococcus pneumoniae 14% from which 60% in children (day to 1-year-old) of 443 (24%) of all strains. Cytochemistry study showed: purulent or turbidity aspects in 70 to 79% positive bacterioscopy or culture of CSF; white cells count > 500/mm3; glucose < 45 mg/dl; protein > 90 mg/dl in 90% of all patients. We concluded that: CSF prognostic factors: (aspect and cytochemistry) were correlated with bacterial meningitis. Bacterioscopy and positive cultures were correlated to NM, SP and HI isolation from these patients (Goodman Test).
de Campos
C E
CE
Hospital Emiílio Ribas, São Paulo, Brasil.
Santos
N N
NN
Takahashi
M N
MN
Kawamura
I E
IE
Damião
S V
SV
Kushnaroff
T M
TM
de Campos
E P
EP
D000293:Adolescent; D000328:Adult; D002555:Cerebrospinal Fluid / Q000378:metabolism / Q000382:microbiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006193:Haemophilus influenzae / Q000302:isolation & purification; D006651:Histocytochemistry; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008583:Meningitis, Haemophilus / Q000134:cerebrospinal fluid* / Q000382:microbiology; D008585:Meningitis, Meningococcal / Q000134:cerebrospinal fluid* / Q000382:microbiology; D008586:Meningitis, Pneumococcal / Q000134:cerebrospinal fluid* / Q000382:microbiology; D009345:Neisseria meningitidis / Q000302:isolation & purification; D013296:Streptococcus pneumoniae / Q000302:isolation & purification
Aspectos dos líquidos cefalorraquidianos nas meningites bacterianas.