TY - JOUR T1 - Investigating chronic meningitis JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 138 LP - 143 DO - 10.1136/adc.2009.162644 VL - 94 IS - 5 AU - N Syed AU - A Saxena AU - L Hartley Y1 - 2009/10/01 UR - http://ep.bmj.com/content/94/5/138.abstract N2 - Chronic meningitis is a syndrome characterised by persistent and progressive signs and symptoms of meningitis along with cerebrospinal fluid (CSF) pleocytosis and elevated protein that fail to improve over 4 weeks. A detailed and careful history and examination is required along with CSF parameters to guide a clinician towards the aetiology of the problem. Neuroimaging modalities have become a useful tool in the quest for a diagnosis in such cases.An interesting case is described in real time illustrating the process of making a diagnosis in chronic meningitis with an insight into investigations and subsequent management. ER -