title: A clear CSF is not always a normal CSF: a case report of pneumococcal meningitis.
abstract: A normal initial cerebrospinal fluid (CSF) study has been traditionally used to exclude the potential diagnosis of bacterial meningitis. However, cases of pyogenic meningitis in the absence of CSF pleocytosis have been reported in which smears for gram stain or CSF culture revealed the diagnosis of meningitis. In the presence of clinical signs of meningitis, an abnormal initial CSF study indicates a diagnosis of bacterial meningitis but a normal result may not necessarily exclude it and therefore, should not delay early institution of appropriate antimicrobial therapy.
authors: Department of Pediatrics, Command Hospital Air Force, Bangalore, India.
authors: Kirandeep
authors: K
authors: Sodhi
authors: Kawaljit Singh
authors: KS
authors: Multani
authors: Chandrashekhar
mesh_terms: D005188:False Negative Reactions; D005260:Female; D006801:Humans; D007223:Infant; D008586:Meningitis, Pneumococcal / Q000134:cerebrospinal fluid* / Q000175:diagnosis