Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more information

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Clinical Pediatrics
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Mehl, A. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mehl, A. L.
Right arrowPubmed/NCBI databases
*Compound via MeSH
*Substance via MeSH
Medline Plus Health Information
*Blood and Blood Disorders
*Meningitis
Hazardous Substances DB
*GLUCOSE
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Interpretation of Traumatic Lumbar Puncture

Predictive Value in the Presence of Meningitis

Albert L. Mehl

Department of Pediatrics, Kapiolani/Children's Medical Center, University of Hawaii, Honolulu, Hawaii

Contamination of cerebrospinal fluid (CSF) with blood was studied prospectively in nine children with aseptic meningitis as the second phase of a study reported in this volume last month. Using criteria defined in the first phase, four of nine patients had recognizably abnormal CSF after experimental contamination with blood. As a third phase of the study, 53 children with bacterial meningitis were reviewed retrospectively to assess if hypothetical contamination of CSF with blood would have disguised their abnormal CSF studies. All but one of these 53 patients had either an abnormal CSF glucose or a positive gram stain (indicators independent of contamination with blood), and none would have gone undiagnosed with hypothetical contamination of up to 200,000 red cells per cubic millimeter. Guidelines for interpretation of laboratory studies following traumatic lumbar puncture are reviewed.

Clinical Pediatrics, Vol. 25, No. 11, 575-577 (1986)
DOI: 10.1177/000992288602501108
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Clin. Chem.Home page
S. A. Fuchs, M. G. M. de Sain-van der Velden, M. M. J. de Barse, M. W. Roeleveld, M. Hendriks, L. Dorland, L. W. J. Klomp, R. Berger, and T. J. de Koning
Two Mass-Spectrometric Techniques for Quantifying Serine Enantiomers and Glycine in Cerebrospinal Fluid: Potential Confounders and Age-Dependent Ranges
Clin. Chem., September 1, 2008; 54(9): 1443 - 1450.
[Abstract] [Full Text] [PDF]

Home page
 JAMAHome page
S. C. Howard, A. J. Gajjar, C. Cheng, S. B. Kritchevsky, G. W. Somes, P. L. Harrison, R. C. Ribeiro, G. K. Rivera, J. E. Rubnitz, J. T. Sandlund, et al.
Risk Factors for Traumatic and Bloody Lumbar Puncture in Children With Acute Lymphoblastic Leukemia
JAMA, October 23, 2002; 288(16): 2001 - 2007.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
E. Ward and C. A. Gushurst
Uses and Technique of Pediatric Lumbar Puncture
Arch Pediatr Adolesc Med, October 1, 1992; 146(10): 1160 - 1165.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
A. L. Mehl
Interpretation of Traumatic Lumbar Puncture
Clinical Pediatrics, January 1, 1988; 27(1): 53 - 54.
[PDF]