A 9 year old boy brought to ED by ambulance after developing a tonic-clonic seizure, it lasted for 8 minutes and was terminated by a single dose of benzos. Background of fever for 4 days and he is on amoxicillin for possible otitis media.
CSF was taken and the results are:
Colour: slightly yellowish
Cells count and differential: 660 with 20% PMN
Protein: 0.68 g/l
Glucose: 2.6 mmol/L
Culture : -ve
Question:
- Explain these results
- What is your differential diagnosis
- What are the indications for immediate antibiotics in suspected meningitis