[khanar]

Hi guys, I noticed that I have two confusing references as far as the CSF fingdings in fungal infections
One of them said increased protein and decreased glucose just like in bacterial meningitis while the other is saying these would be normal.
Any idea which one is right?

 

[tima]

First Aid says inc protein and dec glucose...yes, just like bacteria...this is what i have been following and i get all the questions regarding this correct!

Protein and glucose are normal in virus CSF findings!

 

[khanar]

Agree with Tima,
Fungal Infections have lymphocytes, increased protein, and decreased glucose.
However, granulomatous (chronic) meningitis such as TB will have the same plus some other cells might be seen such as plasma cells, and macrophages.

The major differential between these two and acute viral meningitis is that in viral we have normal glucose (we still may see increased protein in viral menin)

 

[khanar]

Thank you all for the great help

 

[syedaanaqvi]

thanks people!