Severe symptomatic aseptic chemical meningitis following myelography: the role of procalcitonin.
Symptomatic aseptic, chemical meningitis is a rare complication of myelography. Its acute clinical course and standard laboratory findings are indistinguishable from those of bacterial meningitis. The authors present a case of severe postmyelographic chemical meningitis and compare CSF and serum inflammatory markers to a group of seven patients with proven bacterial meningitis. As in viral meningitis, procalcitonin might be able to discriminate between bacterial and chemical causes of CNS inflammation.
Department of Neurology, University of Munich, Klinikum Grosshadern, Germany. andreas.bender@med.uni-muenchen.de
Andreas
A
Bender
Matthias
M
Elstner
Robert
R
Paul
Andreas
A
Straube
D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D001929:Brain Edema / Q000139:chemically induced; D002097:C-Reactive Protein / Q000378:metabolism; D002116:Calcitonin / Q000097:blood*; D015740:Calcitonin Gene-Related Peptide; D003287:Contrast Media / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D005947:Glucose / Q000378:metabolism; D006801:Humans; D006849:Hydrocephalus / Q000139:chemically induced; D007958:Leukocyte Count; D008297:Male; D008582:Meningitis, Aseptic / Q000097:blood / Q000134:cerebrospinal fluid / Q000139:chemically induced* / Q000175:diagnosis; D016920:Meningitis, Bacterial / Q000097:blood / Q000175:diagnosis; D008875:Middle Aged; D009192:Myelography / Q000009:adverse effects*; D011498:Protein Precursors / Q000097:blood*; D013997:Time Factors; D014283:Triiodobenzoic Acids / Q000009:adverse effects*
D015415:Biomarkers; C000606589:CALCA protein, human; D003287:Contrast Media; D011498:Protein Precursors; D014283:Triiodobenzoic Acids; C033300:iotrolan; D002116:Calcitonin; D002097:C-Reactive Protein; D005947:Glucose; D015740:Calcitonin Gene-Related Peptide