结核性脑膜炎
医学
脑膜炎
脑脊液
接收机工作特性
逻辑回归
肺结核
前瞻性队列研究
内科学
队列
隐球菌性脑膜炎
病毒性脑膜炎
曲线下面积
腰椎穿刺
队列研究
免疫学
细菌性脑膜炎
人类免疫缺陷病毒(HIV)
病理
外科
病毒性疾病
作者
Yuying Lu,Caiyu Ma,Ru Chen,Zhongyang Hu,Huan Yao,Qinghua Zhang,Haixia Zhu,Zhen Wang,Zhi Song,Chen Zhang,Ding Liu
标识
DOI:10.1016/j.diagmicrobio.2021.115393
摘要
We developed and validated a new diagnostic scoring system by simultaneously comparing 28 factors (including clinical, laboratory, and imaging) of HIV uninfected adult tuberculous meningitis (TBM) with viral meningitis (VM), bacterial meningitis (BM), and cryptococcal meningitis (CM). Predictors of TBM diagnosis obtained by logistic regression. A total of 382 patients with intracranial infection participated, and eight factors were independently associated with TBM diagnosis: symptom duration, evidence of extracranial tuberculosis, cerebrospinal fluid (CSF) leukocyte, CSF neutrophil, CSF protein, low serum sodium, meningeal enhancement, and tuberculomas. Factors are assigned according to weight, a score of ≥ 5 was suggestive of TBM with a sensitivity of 85.8% and a specificity of 87.7%, and the area under the receiver operating characteristic curve was 0.923. When applied to a prospective validation cohort, this scoring model showed robust performance. Our study suggests that the application of this score can help diagnose TBM more efficiently.
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