Meningitis: In bacterial meningitis the numbers of wbcs in the CSF is elevated and usually consists of cells in the neutrophilic series. Many labs indicate that up to 5 wbc/ml is normal, but my practice is to consider any neutrophils to be abnormal, but this must be evaluated in the context of the clinical presentation. With strep pneumoniae the protein is likely to be high and the glucose significantly low.
Answered 12/26/2016
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