BRUCE RIBNER, M.D.; GERALD T. KEUSCH, M.D.; JOHN B. ROBBINS, M.D.
Etiologic diagnosis of pneumococcal, meningococcal, and Haemophilus influenzae type b meningitis can be made by counter Immunoelectrophoresis of cerebrospinal fluid (CSF) (1), which detects capsular polysaccharide antigens of the organisms. We recently observed a patient with central nervous system infection during cefazolin therapy for Staphylococcus aureus endocarditis in which cross-reacting antigen in CSF was shown by counter Immunoelectrophoresis using H. influenzae type b antiserum.
A 23-year-old woman with anorexia nervosa was hospitalized for alimentation. Following admission she became comatose due to severe hypoglycemia (blood glucose, 12 mg/100 ml) responding rapidly to intravenous glucose administration.
Hyperalimentation was begun through a central
RIBNER B, KEUSCH GT, ROBBINS JB. Staphylococcus aureus Antigen in Cerebrospinal Fluid Cross-Reactive with Haemophilus influenzae Type b Antiserum. Ann Intern Med. ;83:370–371. doi: 10.7326/0003-4819-83-3-370
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Published: Ann Intern Med. 1975;83(3):370-371.
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