A 25 year old lady presented with fever of 1 month duration, ataxia and head ache. Brain imaging showed dilated ventricles with basal exudates. Which among the following is the most likely CSF finding: (A) Lymphocytosis, low glocose, high protein, (B) Lymphocytosis, normal glucose, high protein, (C) Lymphocytosis, low glucose, high protein, (D) None
Answer is A. Harrison's textbook of internal medicine 17th edition. *In tuberculous meningitis present subtly as headache and slightly mental changes after a prodrome of weeks of low grade fever ,malaise ,anorexia ,irritability .if not recognised ,it involved with severe headache,altered sensorium,lethargy *Brain imaging shows hydrocephalus ,abnormal enhancement of basal cistern or ependyma *Classical CSF finding is high leucocyte count (up to 1000microL),usually with predominant of lymphocyte ,protein content of 1-8g/L,low glucose concentration .