Table 3 Serial CSF testing (Table 3)
On admission | Reference: | ||
Aspect | Semi turbid | Clear aspect | |
Color | Yellow | Colorless | |
Protein | 154 | mg/dl | 15–40 |
Glucose | 70 | mg/dl | 50–80 |
WBCs count | 400 | /cmm | 0–5 (lymphocytes) |
PNL | 60 | % | 0 |
Lymphocytes | 40 | % | Negative for bacteria |
Gram stain | No organism detected | Negative for acid-fast bacilli | |
Zehil Nelseen stain | No acid-fast bacilli | ||
PCR for TB | Negative | Negative | |
Fungal culture | Negative | Negative | |
CSF HSV PCR | Negative | Negative | |
Culture for bacteria | No growth | No growth | |
Galactomannan test | Positive | Negative | |
After 3 days: | Cells/cc | ||
Cells | 300 (many RBCs) | % | 0–5 (lymphocytes) |
Neutrophils | 60 | % | Zero |
Lymphocytes | 40 | 0–5 | |
Pathogens: | |||
Gram stain | No bacteria | No bacteria | |
Zeihl Nelseen stain | No acid-fast bacilli | mg/dl | No acid-fast bacilli |
Glucose | 80 | mg/dl | 50–80 |
Proteins | 121 | 15–40 | |
One week later: | Cells/cc | ||
Cells | 50 | % | 0–5 |
Neutrophils | 10 | % | 0 |
Lymphocytes | 90 | 0–5 | |
Pathogens: | |||
Gram stain | No bacteria | No bacteria | |
Zehil Nelseen stain | No acid-fast bacilli | mg/dl | No acid-fast bacilli |
Glucose | 104 | mg/dl | 50–80 |
Protein | 52 | 15–40 | |
Two weeks later | |||
Aspect | Clear | Clear | |
Color | Colorless | Cell/cc | Colorless |
Cell count | 35 | % | 0–5 lymphocytes |
Neutrophils | 20 | % | 0 |
Lymphocytes | 80 | mg/dl | 0–5 |
Glucose | 118 | mg/dl | 50–80 |
Proteins | 35 | 15–40 | |
Pathogens: | |||
Gram stain | No bacteria | No bacteria | |
Zeihl Nelseen stain | No acid-fast bacilli | No acid-fast bacilli | |
Before discharge (after one month) | Cell/cc | ||
Cell count | 20 | % | 0–5(lymphocytes) |
Neutrophils | 40 | % | 0 |
Lymphocytes | 60 | 0–5 | |
Pathogens: | |||
Gram stain | No bacteria | No bacteria | |
Zehil Nelseen | No acid-fast bacilli | mg/dl | No acid-fast bacilli |
Glucose | 122 | mg/dl | 50–80 |
Protein | 42 | 15–40 |