CSFanalysis가 필요한 질병
CSF는 신경증상이 나타나는 경우 혹은 염증이 의심되는 경우에 진단의 목적으로 채취하게 된다. CSF 검사가 지시되는 대표적인 경우는 다음의 네 가지 이다.
- idiopathic seizure disorder
- inflammatory CNS diseases
- neoplasia
- undefinde spinal disorder
Viral
Distemper
Herpes
Parvo
Parainfluenza
CSFfluidanalysis
Opening pressure is relatively very low
Glucose level is doubled
Markedly increased protein level
WBCs, RBCs exist in CSFfluid (abnormal)
The patient underwent renal transplantation twice. (Rejection occurred and the patient was treated with many drugs which suppress immune activities)
The patient presented to the ER complaining severe headaches, nuchal rigidity, rigor
Socioeconomic Factors
No significant differences were found between cases and controls on most of the variables.
employment groups (p = 0.029)
meat consumption (p = 0.012)
chicken consumption (p = 0.034)
Malnutrition
세포매개면역을 저하시킨다.
higher point prevalence of infection in undernourished patients or community dwellers
worse and more frequent complications of infect
FUO 양상의 감염질환
- 결핵, 농양이 가장 흔함
- 그 중 결핵(폐외 결핵, 속립 결핵, 폐결핵) 이 단일 질환 중 가장 흔하다!!!
- 잠복 농양은 최근의 수술환자, 당뇨, 면역 억제자에서 복강 및 골반 내에 발생한다.
FUO 양상의 결체조직질환
-juvenile rheumatoid arthritis (JRA, formerly called Still's disease) in younger pa
Gram’s stain sensitivity = 60 - 90%
Depends on organism, experience, #
Culture sensitivity = 80 - 90%
Latex agglutination becoming more widely used due to simplicity and accuracy