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- W2043851392 abstract "It has been suggested that partial treatment of bacterial meningitis with low doses of antibiotics can suppress the meningeal reaction sufficiently so that the initial cerebrospinal fluid examination will reveal findings consistent with a viral meningitis. In this series of patients, procaine penicillin had been the only antibiotic given prior to the initial lumbar puncture. Partial treatment had no significant effect on the symptoms, physical findings, or cerebrospinal fluid values in patients with bacterial meningitis. There was no relationship between the individual cerebrospinal fluid values and the length of partial treatment. The incidence of apparent viral meningitis was no higher in the partially treated patients than in the untreated patients. The physician presented with a case of meningitis partially treated with low doses of penicillin should be able to apply his usual criteria for differentiating between a bacterial and a viral etiology. It has been suggested that partial treatment of bacterial meningitis with low doses of antibiotics can suppress the meningeal reaction sufficiently so that the initial cerebrospinal fluid examination will reveal findings consistent with a viral meningitis. In this series of patients, procaine penicillin had been the only antibiotic given prior to the initial lumbar puncture. Partial treatment had no significant effect on the symptoms, physical findings, or cerebrospinal fluid values in patients with bacterial meningitis. There was no relationship between the individual cerebrospinal fluid values and the length of partial treatment. The incidence of apparent viral meningitis was no higher in the partially treated patients than in the untreated patients. The physician presented with a case of meningitis partially treated with low doses of penicillin should be able to apply his usual criteria for differentiating between a bacterial and a viral etiology." @default.
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- W2043851392 date "1970-10-01" @default.
- W2043851392 modified "2023-09-27" @default.
- W2043851392 title "The influence of partial treatment with penicillin on the diagnosis of bacterial meningitis" @default.
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- W2043851392 doi "https://doi.org/10.1016/s0022-3476(70)80203-7" @default.
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