RICHARD E. HELMER III, M.D.; RALPH D. MILLSAPS, M.D.
To the editor: Central nervous system involvement in leptospirosis has been documented (1-4). Pleocytosis and elevation of protein in the cerebrospinal fluid (CSF) are well known. The cerebrospinal fluid glucose concentration has been reported as either normal or slightly elevated (1-4); hypoglycorrachia, therefore, was of particular interest in a suspected, although unproved, case of leptospirosis (5).
A 27-year-old white man from rural East Texas had been in excellent health until three weeks before admission to his local hospital, when he noticed malaise. One week earlier he had cut his leg on a submerged barbed-wire fence, when swimming a rain-swollen creek
RICHARD E. HELMER, RALPH D. MILLSAPS. Hypoglycorrachia in Leptospirosis. Ann Intern Med. 1973;79:912. doi: 10.7326/0003-4819-79-6-912
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Published: Ann Intern Med. 1973;79(6):912.
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