H. W. GIERSON, M.D.; JOSEPH I. MARX, M.D.
It is generally agreed that the typical spinal fluid in tuberculous meningitis reflects an elevated pressure, a moderate pleocytosis, an increased protein content and a decline in the sugar and chloride values. The first three of these abnormalities are nonspecific, as, in varying degrees, they will occur with equal facility in a multitude of central nervous system diseases. Hence the greater reliance placed on the concurrent depression of the spinal fluid sugar and/or chloride. It has been the policy of the Los Angeles County General Hospital Tuberculosis Service to measure both the spinal fluid sugar and chloride in every case
GIERSON HW, MARX JI. TUBERCULOUS MENINGITIS: THE DIAGNOSTIC AND PROGNOSTIC SIGNIFICANCE OF SPINAL FLUID SUGAR AND CHLORIDE1. Ann Intern Med. ;42:902–908. doi: 10.7326/0003-4819-42-4-902
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Published: Ann Intern Med. 1955;42(4):902-908.
CNS Infections, Infectious Disease, Mycobacterial Infections, Neurology.
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