CYTOKINE ELEVATIONS IN INFANTS WITH BACTERIAL AND ASEPTIC-MENINGITIS

被引：77

作者：

DULKERIAN, SJ

KILPATRICK, L

COSTARINO, AT

MCCAWLEY, L

FEIN, J

CORCORAN, L

ZIRIN, S

HARRIS, MC

机构：

[1] UNIV PENN, CHILDRENS HOSP, SCH MED, DIV NEONATOL, PHILADELPHIA, PA 19104 USA

[2] UNIV PENN, CHILDRENS HOSP, SCH MED, DIV ALLERGY, PHILADELPHIA, PA 19104 USA

[3] UNIV PENN, CHILDRENS HOSP, SCH MED, DIV INFECT DIS & IMMUNOL, PHILADELPHIA, PA 19104 USA

[4] UNIV PENN, CHILDRENS HOSP, SCH MED, DEPT PEDIAT, PHILADELPHIA, PA 19104 USA

[5] UNIV PENN, CHILDRENS HOSP, SCH MED, DEPT ANESTHESIA & CRIT CARE MED, PHILADELPHIA, PA 19104 USA

来源：

JOURNAL OF PEDIATRICS | 1995年 / 126卷 / 06期

关键词：

D O I：

10.1016/S0022-3476(95)70199-0

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

We sought to determine whether the detection of cytokines, produced during the inflammatory response, would aid in the diagnosis of meningitis in young infants. We measured cerebrospinal fluid (CSF) and plasma levels of interleukin-6 (IL-6) and tumor necrosis factor (TNF) in 62 infants less than 6 months of age whose condition was evaluated for meningitis. Twenty infants had culture-proved meningitis, 22 had aseptic meningitis, and 20 control infants had no evidence of meningitis. The CSF IL-6 levels were elevated in all 20 infants with bacterial meningitis and in 9 of 22 infants with aseptic meningitis but were undetectable in all control subjects. Furthermore, CSF IL-6 levels were 10 times greater in infants with bacterial versus aseptic meningitis (p <0.001). Levels of TNF in CSF were detected in 12 of 20 infants with bacterial meningitis and were undetectable in infants with aseptic meningitis and in control infants (p <0.02). Plasma IL-6 and TNF levels were unreliable for the detection of meningitis in this patient population. We conclude that the presence of IL-6 in the CSF reliably identifies infants with meningitis and that the presence of CSF TNF is a highly specific indicator of bacterial meningeal inflammation.

引用

页码：872 / 876

页数：5

共 27 条

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