{"id":36,"date":"2008-07-02T16:48:54","date_gmt":"2008-07-02T15:48:54","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/adc-archimedes\/?p=36"},"modified":"2013-03-15T17:17:19","modified_gmt":"2013-03-15T16:17:19","slug":"q-clear-csf-does-it-exclude-meningitis","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/adc\/2008\/07\/02\/q-clear-csf-does-it-exclude-meningitis\/","title":{"rendered":"Q: Clear CSF &#8211; Does it exclude meningitis?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright\" style=\"margin: 5px;float: right\" src=\"http:\/\/bob_phillips.allmail.net\/lp-site.jpg\" alt=\"Many attempts at LP\" width=\"75\" height=\"75\" \/>A 20 month old presented with 1-day history of temperature, off food and \u2018not herself\u2019. Clinical examination showed a slightly irritable child with temperature 38.8<sup>0<\/sup>C, slightly congested throat and doubtful neck stiffness. An LP shows WCC 2, RCC 0. A diagnosis of viral illness is made, and antibiotics are not commenced.<\/p>\n<p><a><!--more-->Brave? Stupid? Evidence based? Drs Ray &amp; Rylance from Newcastle give us this provocative scenario.<\/a><\/p>\n<p><a>Can a relatively normal CSF &#8211; indeed can a completely white-cell free CSF &#8211; be relied on to rule out menigitis?<\/a><\/p>\n<p><a>And if it can&#8217;t, do we need to change how we practice?<\/a><\/p>\n<p>Acknowledgement:<\/p>\n<p>Photo from http:\/\/flickr.com\/photos\/26837176@N00\/481711124\/ under creativecommons 2.0<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A 20 month old presented with 1-day history of temperature, off food and \u2018not herself\u2019. Clinical examination showed a slightly irritable child with temperature 38.80C, slightly congested throat and doubtful neck stiffness. An LP shows WCC 2, RCC 0. A diagnosis of viral illness is made, and antibiotics are not commenced. [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/adc\/2008\/07\/02\/q-clear-csf-does-it-exclude-meningitis\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[79],"tags":[],"class_list":["post-36","post","type-post","status-publish","format-standard","hentry","category-archimedes"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/36","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/comments?post=36"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/36\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/media?parent=36"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/categories?post=36"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/tags?post=36"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}