Lab rating included a complete line counting, metabolic pad, chest-radiograph, electrocardiogram, and a CT scan of the head, the findings from all of which were normal. A lumbar hole was performed. The opening night gas pressure was 130 mm H2O, the leukocyte Lord was 533/µL, glucose was 27 mg/dL, and protein was 267 mg/dL. Gram coloring material and acid-fast grease were denial for bacteria. A polymerase strand opposition for M tuberculosis was film.
Viral and fungal tests of the cerebrospinal matter were film. Cultures of sputum, liquid body substance, and urine for bacteria were also denial. The patient's clinical diagnosis was partially treated bacterial meningitis, and she was given intravenous ampicillin, vancomycin, and ceftriaxone. Twelve hour after acknowledgement she developed bradycardia and mental state and became obtunded. A agreement lumbar mischance showed an possible action pressure level of 500 mm H2O; the leukocyte Lord was 174/µL, glucose 27 mg/dL, and protein 268 mg/dL.
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