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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Potentially useful diagnostic tests in patients with unexplained chronic meningitis*

Potentially useful diagnostic tests in patients with unexplained chronic meningitis*
Examination of CSF
Cell count with differential
Protein
Glucose
Special stains (for specific pathogens, eosinophils)
Cytology
Cryptococcal antigen testing
Cultures (CSF, blood, other fluids where relevant)
Aerobic and anaerobic bacterial
Mycobacterial (including acid-fast stains)
Fungal
Serologies (blood and/or CSF)
Fungal serologic tests for Histoplasma, Coccidioides, Sporothrix, Cryptococcus (CF or immunodiffusion)
Toxoplasma serologies (IFA)
Antibody tests for HIV-1, HTLV I/II (ELISA, Western blot)
Cysticercosis serology (EITB)
Lyme serologies (ELISA, Western blot)
Syphilis serology (treponemal and nontreponemal tests)
Brucella serology (standard tube agglutination, CF, ELISA)
Tularemia serology
Imaging studies
Computed tomography (head and chest)
Magnetic resonance imaging of the head with gadolinium
Other
Tuberculin skin test or interferon-gamma release assay
Serum and CSF 1,3-beta-D-glucan assay
Meningeal or cortical biopsy (histopathology and culture)
Bone marrow aspiration and biopsy (with cultures)
Extractable nuclear antigens, antineutrophil cytoplasmic autoantibodies, and antibodies to cyclic citrullinated peptide
Erythrocyte sedimentation rate
Skin or lymph node biopsy, when applicable
Nucleic acid amplification testing of CSF for Mycobacterium tuberculosis
CSF PCR for enterovirus
CSF PCR for Tropheryma whipplei
CSF metagenomic next-generation sequencing or 16S rRNA sequencing
Ophthalmologic examination
CSF: cerebrospinal fluid; CF: complement fixation; IFA: indirect fluorescent antibody; HTLV: human T-lymphotropic virus; ELISA: enzyme-linked immunosorbent assay; ETIB: enzyme-linked immunoelectrotransfer blot; PCR: polymerase chain reaction.
* The decision regarding which laboratory tests to perform should be based upon the clinical features of each individual patient and the probability that a specific disease is present. Refer to the topic reviews that discuss specific pathogens for a more detailed discussion of the different diagnostic tests.
Graphic 64041 Version 7.0

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