How are nonviral infectious etiologies of aseptic meningitis diagnosed?

Updated: Jul 17, 2018
  • Author: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Diagnosis of nonviral infectious etiologies

In contrast to the viral causes of aseptic meningitis, nonviral causes of meningitis usually produce a more complicated course and always must be considered because they can be managed with specific treatments.

Consider partially treated bacterial meningitis, especially when the patient has a history of previous oral antimicrobial therapy and when CSF exhibits persistently low glucose or polymorphonuclear pleocytosis. Latex agglutination tests may be useful in these patients.


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