JEAN EDWARDS HOLT, M.D.; JAMES E. GRAY, M.D.; WILLIAM L. LERNER, M.D.
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To the editor: On our medical service we have a 20-year-old male patient with systemic lupus erythematosus (presently in remission) and, since treatment for this 2 years ago, chronic cryptococcal meningitis; he is now on his fourth course of amphotericin B therapy. One year ago, he had an Ommaya reservoir placed for intrathecal administration of therapy. We had discussed using the reservoir taps for observing his disease course. Simultaneous lumbar puncture and ventricular taps were performed for base-line studies. The lumbar-tap findings were opening pressure, 410 mm; glucose, 24 mg/100 ml; protein, 32 mg/100 ml; cells, 90 with 55% neutrophils.
HOLT JE, GRAY JE, LERNER WL. Coccidioidal Meningitis. Ann Intern Med. ;77:814. doi: 10.7326/0003-4819-77-5-814_2
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Published: Ann Intern Med. 1972;77(5):814.
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