Given the age, did you send viral studies? How about Herpes PCR? What is the
standard of care there?
Kevin Powell MD PhD
University of Illinois, Urbana-Champaign
From: Pediatric Emergency Medicine Discussion List
[mailto:[log in to unmask]]On Behalf Of christopher amato
Sent: Thursday, July 22, 2004 8:15 AM
To: [log in to unmask]
Subject: Re: Viral vs. bacterial meningitis
Tough way to start the first day of being an attending!
I have another case to run by the group regarding the current thread. 8
week old, FTSVD without complications, presents with Hx of T101, fussy with
feeds without V/D. Otherwise good bowel/bladder output.
PE: Pt alert and looks well, Vitals, T 39.4 in ED
(+) Erythematous based vesicles in posterior pharynx-c/w Coxsackie
Partial sepsis work up done: WBC 12.4 (6S 29L, 2%bands) and urine Neg, SMA7
Gluc 100, otherwise (-)
How many would automatically tap this patient with an obvious source and
good follow up? (The rest of the information follows)
Spoke with covering PMD who wanted "prophylactic" Rocephin - I agreed only
if spinal tap done.
Spinal: WBC 546, RBC 2, Protein 73, Gluc 44
Pt admitted for IV antibiotics and all cultures(blood/CSF/Urine) Negative
Randy King <[log in to unmask]> wrote:
Regarding differentiating viral from bacterial meningitis based on the CSF
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