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A Rare Case of Meningitis – Labs

Dr. Salman Tahir – Labs

Continuing to discuss Dr. Salman Tahir’s case (RIP.) Today we will discuss the labs.

p.s. please avoid commenting to offer what could have been done differently. His family’s point of view is to offer this information to help save lives.

Increased neutrophils and NETosis

Patients with low lymphocyte count lymphopenia have poorer outcome

Calculating the anion gap
AG = Sodium – (chloride and bicarb)

High anion gap acidosis
Mnemonic: MUDPILES
Methanol
Uremia
Diabetic ketoacidosis
Paracetamol
Infection, iron, isoniazid leading to lactic acidosis
Ethylene glycol
Salicylates

Arterial blood gases (ABGs)

Lymphocytic meningitis

Platelet count can reduce by heparin in some cases

Increased LDH levels