A 17-year-old female presents with a history of fever and headache and now develops altered sensorium. CT scan shows basal exudates with meningeal enhancement. The CSF is most likely to show:
Lymphocytic pleocytosis, low sugar, low protein
Polymorphonuclear pleocytosis, normal sugar, high protein
Lymphocytic pleocytosis, low sugar, high protein
Lymphocytic pleocytosis, normal sugar, high protein
CT scan shows basal exudates with meningeal enhancement is highly suggestive of tuberculous meningitis. Normal Bacterial Viral Fungal /TB Pressure cmH20) 5-20 >30 Normal or mildly increased Appearance Normal Turbid Clear Fibrin web Protein (g/L) 0.18-0.45 >1 <1 0.1-0.5 Glucose (mmol/L) 2.5-3.5 <2.2 Normal 1.6-2.5 Gram stain Normal 60-90% Positive Normal Glucose - CSF: Serum Ratio 0.6 <0.4 >0.6 <0.4 WCC <3 >500 <1000 100-500 Other 90% PMN Monocytes 10% have >90% PMN 30% have> 50% PMN Monocytes
Miscellaneous