Case: 68 years old lady from Dublin, Ireland has high fever and bad headace. She is very weak and she has lost her appetite. Family doctor sent her to the hospital for tests. Cerebrospinal fluid sample was taken and gram stain was made immediately. Findings are in the image below.
What are the findings in this CSF gram stain?
Correct answeris below the image.
(Click the image to enlarge)
CORRECT ANSWER: PMNs 3+, no microbes
This image is very sharp (look at the neutrophils). If there would be any bacteria or fungus, those would be clearly visible.