Craven R B, Brooks J B, Edman D C, Converse J D, Greenlee J, Schlossberg D, Furlow T, Gwaltney J M, Miner W F
J Clin Microbiol. 1977 Jul;6(1):27-32. doi: 10.1128/jcm.6.1.27-32.1977.
Cerebrospinal fluid specimens from patients with tuberculous (17 cases), cryptococcal (15 cases), and viral (14 cases) meningitis were analyzed by frequency-pulsed electron capture gas-liquid chromatography and mass spectrometry. Compounds that disappeared after therapy were found to be present in each of these specimens and were not detected in controls. They occurred in repetitive patterns such that these three types of meningitis could be rapidly distinguished. The compound associated with tuberculous meningitis has been tentatively identified. These finding have implications for rapid diagnosis, pathophysiological studies, and possible new therapeutic approaches.
对结核性脑膜炎患者(17例)、隐球菌性脑膜炎患者(15例)和病毒性脑膜炎患者(14例)的脑脊液标本进行了频率脉冲电子捕获气液色谱和质谱分析。发现治疗后消失的化合物存在于上述每种标本中,而在对照标本中未检测到。它们以重复模式出现,从而可以快速区分这三种类型的脑膜炎。与结核性脑膜炎相关的化合物已初步鉴定。这些发现对快速诊断、病理生理学研究以及可能的新治疗方法具有重要意义。