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[ citation needed ] CSF can be sent to the microbiology lab for various types of smears and cultures to diagnose infections. Chemistry Edit. Glucose is present in the CSF; the level is usually about 60% that in the peripheral circulation. [39] A fingerstick or venipuncture at the time of lumbar puncture may therefore be performed to assess peripheral glucose levels and determine a predicted CSF glucose value. Decreased glucose levels [40] can indicate fungal, tuberculous [41] or pyogenic infections; lymphomas; leukemia spreading to the meninges; meningoencephalitic mumps; or hypoglycemia. A glucose level of less than one third of blood glucose levels in association with low CSF lactate levels is typical in hereditary CSF glucose transporter deficiency also known as De Vivo disease. [42] Increased glucose levels in the fluid can indicate diabetes, although the 60% rule still applies. [43][44] Increased levels of glutamine[45] are often involved with hepatic encephalopathies, [46][47]Reye's syndrome, [48][49] hepatic coma, cirrhosis, [47] hypercapnia and depression. [50] Increased levels of lactate can occur the presence of cancer of the CNS, multiple sclerosis, heritable mitochondrial disease, low blood pressure, low serumphosphorus, respiratory alkalosis, idiopathic seizures, traumatic brain injury, cerebral ischemia, brain abscess, hydrocephalus, hypocapnia or bacterial meningitis. [43] The enzyme lactate dehydrogenase can be measured to help distinguish meningitides of bacterial origin, which are often associated with high levels of the enzyme, from those of viral origin in which the enzyme is low or absent. 5 de novembro inglaterra.Correct Score in Other Sports.
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