The value of elevated cerebrospinal fluid lactate concentrations in post-neurosurgical bacterial meningitis

• Published in: BMC neurology 2023-10, Vol.23 (1), p.1-377, Article 377
• Main Authors: Wang, Qin, Wang, YongFang, Yang, Yan, Kong, YanXi, Peng, Yuan
• Format: Article
• Language: English
• Subjects: Antibiotics; Bacteria; Bacterial meningitis; Care and treatment; Cerebrospinal fluid; Cerebrospinal fluid lactate; Cerebrospinal fluid parameters; Clinical medicine; Consciousness; Diagnosis; Diagnostic tests; Diagnostic value; Erythrocytes; Fever; Glucose; Infections; Lactic acid; Leukocytes; Medical examination; Medical laboratories; Meningitis; Metabolism; Mortality; Nervous system; Neurosurgery; Normal distribution; Patients; Post-neurosurgical bacterial Meningitis; Proteins; Puncture; Spine; Statistical analysis; Surgery
• ISSN: 1471-2377; 1471-2377
• DOI: 10.1186/s12883-023-03428-8

Bacterial meningitis is a serious complication after neurosurgery and has a high mortality rate. Early diagnosis and timely treatment are crucial or will have disastrous consequences. The classic triad of bacterial meningitis lacks sensitivity and specificity. Therefore, the diagnosis of post-neurosurgical bacterial meningitis relies on cerebrospinal fluid. But traditional cerebrospinal fluid parameters are not completely reliable in diagnosing post-neurosurgical bacterial meningitis. Previous studies have found that CSF lactate concentration is related to bacterial meningitis. But, after the craniocerebral operation, the cerebrospinal fluid of most patients is bloody. Whether red blood cells interfere with diagnosing PNBM based on lactate concentration is limited. In the current study, we further analysis on whether red blood cells interfere with diagnosing PNBM based on lactate concentration. This study aimed to investigate the value of cerebrospinal fluid lactate concentrations in post-neurosurgical bacterial meningitis. A prospective observational study was performed on 62 patients at Kunshan First People’s Hospital’s intensive care unit affiliated with Jiangsu University. We found that erythrocytes do not affect cerebrospinal fluid lactate, and elevated lactate concentrations can be used as a marker for postoperative bacterial meningitis.