@DrNeuro123 @DxRxEdu @rabihmgeha Although rare, lack of pleocytosis can also occur immunocompetent pt which is thought to be due severe disease not leaving enough time for body to mount a CSF response. https://t.co/vrXGLRTqCO https://t.co/Nun7AzIQlJ
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@AnnKumfer Case reports meningitis w/o pleocytosis: N. mening, S. pneumo, H. flu, Enterovirus, Crypto. Most cases bacterial and w/ pleocytosis on repeat LP (not all). ??2/2 infxn source w/o CSF seeding before LP, vs. immunocompromised preventing typical
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A systematic review of cases of meningitis in the absence of cerebrospinal fluid pleocytosis on lumbar puncture. https://t.co/bsNkQGRs6s