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The polymerase chain reaction(PCR)in cerebrospinal fluid was compared with conventional bacteriology and an enzyme-linked immunosorbent assay(ELISA) for cerebrospinal fluid antibodies in the diagnosis of tuberculous meningitis(TBM).PCR was the most sensitive technique;it detected 15(75%)of 20 cases of highly probable TMB(based on clinical features),4(57%)of 7 probable cases,and 3(43%)of 7 possible cases.ELISA detected 11(55%)of the highly probable cases and 2 each of the probable and possible cases. Culture was positive in only 4 of the highly probable cases.Among the controls(14 pyogenic meningitis,3 aseptic meningitis,34 other neurological disorders),6 subjects tested early in the study(2 pyogenic meningitis,4 other disorders)were PCR positive.Second DNA preparations from their stored cerebrospinal fluid samples were all PCR negative,suggesting that the false-positive results were due to cross-contamination.18 PCR-positive TBM samples retested were all still PCR positive.The antibody ELISA was positive in 3 controls despite the use of a high cutoff value. |
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cerebrospinal fluid
cerebrospinal fluid,abnormal
ELISA
meningitis
meningitis,CSF findings in
meningitis,TB
polymerase chain reaction
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