Gram – CSF: 3+ (6-10/oif) lymphocytes; 3+ (11-50/oif), no bacteria – Shipped February 11, 2019
HISTORY
A simulated CSF sample from an 18 year old with severe headache in ER was sent to category A, C, and C1 laboratories.
MAIN EDUCATIONAL POINTS from GS184-2
- It is important that laboratories correctly differentiate and report the predominant WBC type as this assists in identifying the most likely etiologic agent.
- If laboratories are unable to distinguish between polymorphonuclear and mononuclear cells on Gram stain, then they should report as white blood cells (WBCs) without type differentiation.
