RT Journal Article
SR Electronic
T1 Investigating chronic meningitis
JF Archives of disease in childhood - Education & practice edition
JO Arch Dis Child Educ Pract Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 138
OP 143
DO 10.1136/adc.2009.162644
VO 94
IS 5
A1 N Syed
A1 A Saxena
A1 L Hartley
YR 2009
UL http://ep.bmj.com/content/94/5/138.abstract
AB 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.