Cerebrospinal fluid glucose levels and sensorineural hearing loss in bacterial meningitis.
BACKGROUND
Low cerebrospinal fluid (CSF) glucose levels have been associated with sensorineural hearing loss (SNHL) in bacterial meningitis but systematic investigations are lacking.


METHODS
A retrospective case control study was conducted comparing CSF glucose levels in 47 cases with and 145 controls without SNHL following bacterial meningitis.


RESULTS
The mean CSF glucose level (standard deviation [SD]) was 1.3 mmol/l (1.2) in cases and 2.5 mmol/l (1.6) in controls (p < 0.001). The difference between the groups was significant for Streptococcus pneumoniae and Haemophilus influenzae but not for Neisseria meningitidis infection. It was independent of the delay of treatment if this was greater than 12 h. This delay was significantly longer in cases compared to controls.


CONCLUSIONS
In bacterial meningitis other than that caused by N. meningitidis and independent of the duration of symptoms prior to diagnosis, CSF glucose levels were significantly lower in patients developing a SNHL compared to controls.
Eisenhut
M
M
Royal Liverpool Children's NHS Trust, Alder Hey, Eaton Road, L12 2AP Liverpool, Great Britain. michael.eisenhut@talk21.com
Meehan
T
T
Batchelor
L
L
D015415:Biomarkers / Q000032:analysis; D016022:Case-Control Studies; D002675:Child, Preschool; D005260:Female; D005947:Glucose / Q000134:cerebrospinal fluid*; D006193:Haemophilus influenzae / Q000302:isolation & purification; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid* / Q000382:microbiology*; D009345:Neisseria meningitidis / Q000302:isolation & purification; D011336:Probability; D011379:Prognosis; D012016:Reference Values; D012189:Retrospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D013296:Streptococcus pneumoniae / Q000302:isolation & purification
D015415:Biomarkers; D005947:Glucose