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May 1975, Vol 129, No. 5 >
Article | May 1975

Lumbar Punctures and Meningitis FREE

Gerald W. Fischer, MC, USA; Ronald W. Brenz, MC, USA; Errol R. Alden, MC, USA; J. Bruce Beckwith, MD
[+] Author Affiliations

Received for publication May 21, 1974; accepted Sept 16.

Reprint requests to Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI 96819 (Dr. Fischer).


Am J Dis Child. 1975;129(5):590-592. doi:10.1001/archpedi.1975.02120420038014.
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Four patients, with an additional seven from the literature, had meningitis following a lumbar puncture (LP) that disclosed normal cerebrospinal fluid (CSF). Animal studies demonstrate that perforation of the meninges in the presence of bacteremia enhances the development of meningitis. Simultaneous blood cultures should be obtained with all LPs. Regardless of the results of the initial LP, a second CSF examination is recommended in any patient whose clinical condition is deteriorating. If the initial blood culture is positive, a second LP should be strongly considered in all newborn and very young infants.

REFERENCES

1 +
Wegeforth P, Latham JR:  Lumbar puncture as a factor in the causation of meningitis . Am J Med Sci 148:183-202, 1919;.
Link to Article
2 +
Torphy DE, Ray CG:  Occult pneumococcal bacteremia . Am J Dis Child 119:336-338, 1970;.
3 +
Weed LH, Wegeforth P, Ayer JB, et al:  A study of experimental meningitis: IV. The influence of certain experimental procedures upon the production of meningitis by intravenous inoculation . Monogr Rockefeller Inst Med Res 12:57-114, 1920;.
4 +
Weed LH, Wegeforth P, Ayer JB, et al:  The production of meningitis by release of cerebrospinal fluid during an experimental septicemia: Preliminary note . JAMA 72:190-193, 1919;.
Link to Article
5 +
Petersdorf RG, Swarner DR, Garcia M:  Studies on the pathogenesis of meningitis: II. Development of meningitis during pneumococcal bacteremia . J Clin Invest 41:320-327, 1962;.
Link to Article
6 +
Dietzman DE, Fischer GW, Schoenknecht FD:  Neonatal Escherichia coli septicemia: Bacterial counts in blood . J Pediatr 85:128-130, 1974;.
Link to Article
7 +
Pray LG:  Lumbar puncture as a factor in the pathogenesis of meningitis . Am J Dis Child 62:295-308, 1941;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Wegeforth P, Latham JR:  Lumbar puncture as a factor in the causation of meningitis . Am J Med Sci 148:183-202, 1919;.
Link to Article
2 +
Torphy DE, Ray CG:  Occult pneumococcal bacteremia . Am J Dis Child 119:336-338, 1970;.
3 +
Weed LH, Wegeforth P, Ayer JB, et al:  A study of experimental meningitis: IV. The influence of certain experimental procedures upon the production of meningitis by intravenous inoculation . Monogr Rockefeller Inst Med Res 12:57-114, 1920;.
4 +
Weed LH, Wegeforth P, Ayer JB, et al:  The production of meningitis by release of cerebrospinal fluid during an experimental septicemia: Preliminary note . JAMA 72:190-193, 1919;.
Link to Article
5 +
Petersdorf RG, Swarner DR, Garcia M:  Studies on the pathogenesis of meningitis: II. Development of meningitis during pneumococcal bacteremia . J Clin Invest 41:320-327, 1962;.
Link to Article
6 +
Dietzman DE, Fischer GW, Schoenknecht FD:  Neonatal Escherichia coli septicemia: Bacterial counts in blood . J Pediatr 85:128-130, 1974;.
Link to Article
7 +
Pray LG:  Lumbar puncture as a factor in the pathogenesis of meningitis . Am J Dis Child 62:295-308, 1941;.

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