CSF/blood glucose ratio and bacterial meningitis without pleocytosis in a potentially immunocompromised host

Hidetaka Tamune; Takaie Kuki

doi:10.1016/j.ajem.2016.02.030

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CSF/blood glucose ratio and bacterial meningitis without pleocytosis in a potentially immunocompromised host☆

Hidetaka Tamune, MD

Department of Neuropsychiatry, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan

Takaie Kuki, MD

Department of Internal Medicine, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan

DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.030

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We read with great interest the recent case report entitled “Streptococcus pneumoniae meningitis without pleocytosis of the cerebrospinal fluid” by Sato et al [1]. The patient had a small spleen (6 × 2 × 1 cm) requiring prompt treatment, as duly administered by the authors. We would like here to propose that the patient with small spleen should be considered as a potentially immunocompromised patient.

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☆No support, grants, or funding was given to the authors.

CSF/blood glucose ratio and bacterial meningitis without pleocytosis in a potentially immunocompromised host☆

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