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Viral Meningitis. Are there any elements on H&P that make you suspect viral meningitis in adult patients ? Do you perform lumbar puncture on all patients you suspect have viral meningitis? Does a “normal” CSF reassure you that a patient does not have bacterial meningitis ?
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Viral Meningitis Are there any elements on H&P that make you suspect viral meningitis in adult patients? Do you perform lumbar puncture on all patients you suspect have viral meningitis? Does a “normal” CSF reassure you that a patient does not have bacterial meningitis? Do you use CSF lactate or other markers to differentiate between viral and bacterial meningitis? Do you send anything beyond a standard meningitis panel for immunocompetent patients? When and what? 4. When do you admit a patient, post-LP, who appears to have viral meningitis? What anti-microbial agents do you give these patients, if any?