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.
Bender
Andreas
A
Department of Neurology, University of Munich, Klinikum Grosshadern, Germany. andreas.bender@med.uni-muenchen.de
Elstner
Matthias
M
Paul
Robert
R
Straube
Andreas
A
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