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  • Title: Chloride levels in meningitis.
    Author: Ramkissoon A, Coovadia HM.
    Journal: S Afr Med J; 1988 May 07; 73(9):522-3. PubMed ID: 3375941.
    Abstract:
    The blood/cerebrospinal fluid bromide ratio is sensitive and specific in the diagnosis of tuberculous meningitis (TBM). Blood/CSF chloride (Cl-) ratios were not found to be useful in differentiating between TBM and viral and acute bacterial meningitis in 59 black children. In a study of 148 children with bacterial or viral meningitis or TBM, the majority (112) had CSF Cl- levels below the lower limit of normal. Accordingly, CSF and blood Cl- levels and the blood/CSF Cl- ratio were not found to be useful in differentiating between TBM, acute bacterial meningitis and viral meningitis.
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