Aspect LCR la punctie lombara

LCRNormalBacteriiVirusuriTBCFungi
pressure
cmH2O
6 – 2020 – 506 – 3020 – 4020 -100
CuloareClarTulbureTulbure/ GalbenClar/ Tulbure
Celule< 5/mm3>1000/mm310-1000/mm3Nomal/ 1000/mm3
DifLimfociteNeutrofileLimfociteLimfociteLimfocite
LCR/glicemie50-60%Scazut
< 40%
NormalF scazut
< 30%
Normal / Scazut
Proteine< 0.45 g/dl> 1 g/l0.5 – 1 g/l1 – 5 g/l0.5 – 1 g/l
ProteineNormalCult GramPCR CMV HSV VZVPCR
Cultura
Ac test
India Ink
Ag Criptococ

Bacterii

  • E colli
  • Haemophilus
  • Listeria
  • Neisseria
  • Str agalatiae
  • Str Pneumonie

Virusuri

  • CMV
  • Enterovirus
  • HSV1, 2 HHV6
  • VZV
  • Fungi
  • Crioptococus

 Tratament in caz de suspiciune meningoencefalita:

  • Ceftriaxona 2gx2 sau Cefotaxime 2g/4h 
  • Vancomicina 
  • Ampicilina 2g/4h
  • Steroizi – dexametazona 10mg/6h
  • Aciclovir 10mg/kgc

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