Weinberg J R, Coppack S P
J Neurol Neurosurg Psychiatry. 1985 Mar;48(3):278-80. doi: 10.1136/jnnp.48.3.278.
Five cases of lymphocytic meningitis are described where a Bromide Partition Test was performed and proved positive at levels usually considered consistent with tuberculous meningitis. Three of these cases were ultimately shown to have herpes simplex viral encephalitis, one had Listeria monocytogenes in the CSF and the fifth patient recovered without treatment and was thought to have had a viral encephalitis. The Bromide Partition Test may not be as good a discriminant as has previously been suggested in differentiating between tuberculous and viral meningitis, especially when performed in a population at low risk of getting tuberculous meningitis.
本文描述了5例淋巴细胞性脑膜炎病例,这些病例进行了溴化物分配试验,结果显示阳性,其水平通常被认为与结核性脑膜炎相符。其中3例最终被诊断为单纯疱疹病毒性脑炎,1例脑脊液中发现单核细胞增多性李斯特菌,第5例未经治疗自行康复,推测为病毒性脑炎。溴化物分配试验在区分结核性脑膜炎和病毒性脑膜炎方面,可能不像之前认为的那样具有良好的鉴别能力,尤其是在结核性脑膜炎低风险人群中进行该试验时。