Acute meningitis with a negative gram's stain: Clinical and management outcomes in 171 episodes
Elmore J, Horwitz R, Quagliarello V. Acute meningitis with a negative gram's stain: Clinical and management outcomes in 171 episodes. The American Journal Of Medicine 1996, 100: 78-84. PMID: 8579091, DOI: 10.1016/s0002-9343(96)90015-7.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdolescentAdultAnti-Bacterial AgentsBacteremiaChildCohort StudiesColoring AgentsCommunity-Acquired InfectionsComorbidityDecision MakingFemaleFeverHumansImmunocompromised HostLength of StayLeukocyte CountLyme DiseaseMagnetic Resonance ImagingMaleMeningitis, AsepticMiddle AgedNeckRetrospective StudiesSeasonsSyphilisTomography, X-Ray ComputedTreatment OutcomeConceptsAcute meningitisComorbid diseasesDiagnostic causesExamination findingsCerebrospinal fluid white blood cell countWhite blood cell countCommunity-acquired illnessPhysicians' management decisionsRetrospective cohort studyEmpiric antibiotic therapyBlood cell countNegative Gram stainMagnetic resonance imagingConcurrent comorbid diseasesEmpiric treatmentCohort studyMedian stayNeck stiffnessAntibiotic therapyClinical outcomesParaclinical dataCranial imagingEmergency departmentFrequent findingTreatable disease