Assuntos
Abscesso/diagnóstico por imagem , Doenças da Medula Espinal/diagnóstico por imagem , Medula Espinal/diagnóstico por imagem , Abscesso/sangue , Abscesso/líquido cefalorraquidiano , Abscesso/tratamento farmacológico , Idoso , Antibacterianos/uso terapêutico , Diagnóstico Diferencial , Imagem de Difusão por Ressonância Magnética , Humanos , Masculino , Medula Espinal/efeitos dos fármacos , Doenças da Medula Espinal/sangue , Doenças da Medula Espinal/líquido cefalorraquidiano , Doenças da Medula Espinal/tratamento farmacológico , Vértebras TorácicasAssuntos
Dor Abdominal/etiologia , Abscesso/complicações , Doenças da Medula Espinal/complicações , Infecções Estafilocócicas/complicações , Abscesso/líquido cefalorraquidiano , Abscesso/diagnóstico , Antibacterianos/uso terapêutico , Bacteriemia/microbiologia , Feminino , Febre/etiologia , Humanos , Lactente , Imageamento por Ressonância Magnética , Dor/etiologia , Doenças da Medula Espinal/líquido cefalorraquidiano , Doenças da Medula Espinal/diagnóstico , Infecções Estafilocócicas/líquido cefalorraquidiano , Infecções Estafilocócicas/diagnóstico , Staphylococcus aureus/isolamento & purificaçãoRESUMO
The purpose of this work was to detect the concentration of cytokines--tumor necrosis factor (TNF)-alpha and Interleukin (IL)-1 beta in cerebrospinal fluid (CSF) and serum, their diagnostic and prognostic usefulness among patients with purulent meningitis. 25 patients of Centre of Parasitic Diseases and Neuroinfections hospitalized with diagnosis or suspicion of purulent meningitis were studied. The patients were divided into two groups: I-12 persons with diagnosis of purulent meningitis and group II-13 controls where suspicion of meningitis was excluded during clinical procedure. The cytokines were detected by immunometric assay. This examination was performed twice--before and after treatment. In group I-patients with purulent meningitis, TNF-alpha and IL-1 beta CSF concentrations were significantly higher in comparison with group II. After treatment the concentrations of cytokines did not show significant differences between group I and II. In acute phase of meningitis correlations between CSF concentration of TNF-alpha and IL-1 beta and other indexes of inflammation in CSF: pleocytosis, concentration of protein and glucose were found. The serum concentrations of the cytokines were many times lower than in CSF. The detection of TNF-alpha and IL-1 beta CSF concentration can be used to estimate the efficacy of therapy and regression of inflammation in the central nervous system.
Assuntos
Abscesso/sangue , Abscesso/líquido cefalorraquidiano , Interleucina-1/sangue , Interleucina-1/líquido cefalorraquidiano , Meningites Bacterianas/sangue , Meningites Bacterianas/líquido cefalorraquidiano , Fator de Necrose Tumoral alfa/análise , Fator de Necrose Tumoral alfa/líquido cefalorraquidiano , Adolescente , Idoso , Feminino , Humanos , Recém-Nascido , Masculino , Pessoa de Meia-IdadeRESUMO
An epidural abscess involving the thoracolumbar spinal cord was considered the probable cause of pelvic limb paresis in those sheep where analysis of lumbar cerebrospinal fluid (CSF) samples revealed a significant increase in protein concentration (P less than 0.05) and some increase in total white blood cell concentration and neutrophil percentage. There was no significant increase in protein concentration in the corresponding cisternal samples. This phenomenon caused by blockage to CSF flow is not dissimilar to that of Froin's syndrome in man which has been reported as a result of localized spinal meningitis (Brain, 1985).