Investigating chronic meningitis. Issue 5 (21st September 2009)

• Record Type: Journal Article
• Authors: Syed, N; Saxena, A; Hartley, L
• Is Part Of: Archives of disease in childhood. Volume 94:Issue 5(2009)
• Page Start: 138
• Page End: 143
• Publication Date: 2009-09-21
• Subjects: Pediatrics -- Practice -- Periodicals; Children -- Diseases -- Treatment -- Periodicals; 618.920005
• DOI: 10.1136/adc.2009.162644
• Languages: English
• ISSNs: 1743-0585

Abstract

Abstract : Chronic meningitis is a syndrome characterised by persistent and progressive signs and symptoms of meningitis along with cerebrospinal fluid (CSF) pleocytosis and elevated protein that fail to improve over 4 weeks. A detailed and careful history and examination is required along with CSF parameters to guide a clinician towards the aetiology of the problem. Neuroimaging modalities have become a useful tool in the quest for a diagnosis in such cases. An interesting case is described in real time illustrating the process of making a diagnosis in chronic meningitis with an insight into investigations and subsequent management.