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- Ryota Sato, Michitaka Nasu, Ryohei Yagi, and Yusuke Kitahara.
- Department of Emergency and Critical Care Medicine, Urasoe General Hospital, 4-16-1, Iso, Urasoe, Okinawa, Japan. Electronic address: st051035@gmail.com.
- Am J Emerg Med. 2016 May 1; 34 (5): 941.e1-2.
AbstractPleocytosis of the cerebrospinal fluid is a key finding for the diagnosis of bacterial meningitis. Bacterial meningitis presenting in normal cerebrospinal fluid is rare in adult patients. We describe the case of a patient with pneumococcal meningitis without cerebrospinal fluid pleocytosis. This case suggests that immediate antibiotic therapy should be started when meningitis is suspected, even with normal cerebrospinal fluid findings. (See Figure.)
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