Meningitis Cerebrospinal fluid

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Meningitis Cerebrospinal fluid

WBra
Emergency Medicine Resident

This is cloudy #csf in an elderly lady who came in with #sepsis and multilobar #pneumonia. She was growing #strep pneumo in her blood after 24 hours. She had seizure like activity and status on eeg, which we broke with ativan, vimpat and locasamide. CSF studies are pending, but I can safely say she has meningitis based on this turbid csf. Normally, it is crystal clear. The question is: in addition to empiric meningitis coverage, do you treat with #Dexamethasone ?

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