UpToDate
Official reprint from UpToDate®
www.uptodate.com ©2016 UpToDate®

Clinical microbiology review: Meningeal infections

Author
Stephen B Calderwood, MD
Section Editor
Daniel J Sexton, MD
Deputy Editor
Anna R Thorner, MD

CASE 1

This 65 year-old man with multiple myeloma presented with fever, confusion, and meningismus. What does the Gram's stain of the cerebrospinal fluid show? Question: (picture 1). Answer: (picture 2).

CASE 2

This 19 year-old female college student presented with fever, petechial rash, and headache. What does the Gram's stain of the cerebrospinal fluid show? Question: (picture 3). Answer: (picture 4).

CASE 3

This unvaccinated 3 year-old boy presented with fever, headache, and somnolence. What does the Gram's stain of the cerebrospinal fluid show? Question: (picture 5). Answer: (picture 6).

CASE 4

This neonate was irritable, feeding poorly, and had low-grade fever. What does the Gram's stain of the cerebrospinal fluid show? Question: (picture 7). Answer: (picture 8).

CASE 5

This 38 year-old female was receiving high-dose steroids for inflammatory bowel disease, and presented with fever, headache, and meningismus. What does the Gram's stain of the cerebrospinal fluid show? Question: (picture 9) Answer: (picture 10A-C).

 

Subscribers log in here

To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:
Literature review current through: Nov 2016. | This topic last updated: Fri Dec 19 00:00:00 GMT+00:00 1997.
The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2016 UpToDate, Inc.