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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1992-9-17
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pubmed:abstractText |
Lipopolysaccharide (LPS, endotoxin) was quantified in plasma and cerebrospinal fluid (CSF) collected simultaneously from patients with systemic meningococcal disease. High levels (median, 3800 ng/L; range, 750-14,000) were present in plasma and low levels (median, 40 ng/L; range, less than 25-165) in CSF of patients with fulminant septicemia. Conversely, high levels (median, 2500 ng/L; range, less than 25-500,000) in CSF and low or undetectable levels (median, less than 25 ng/L; range, less than 25-210) in plasma were associated with meningitis without septic shock. Levels of LPS were significantly correlated with protein levels in CSF (r = .50, P = .01) and inversely correlated with the ratio of glucose in CSF to that in blood (r = -.62, P = .0005). LPS level in CSF greater than 800 ng/L was significantly associated with greater than or equal to 10(9) leukocytes/L, protein levels greater than 0.5 g/L, and a glucose ratio less than 0.5. Thus, quantification of LPS levels in the plasma and CSF in systemic meningococcal disease is a better predictor of pathophysiologic events than is demonstrating the presence of live bacteria as in conventional culture.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0022-1899
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
166
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
650-2
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1500752-Adolescent,
pubmed-meshheading:1500752-Adult,
pubmed-meshheading:1500752-Aged,
pubmed-meshheading:1500752-Child,
pubmed-meshheading:1500752-Child, Preschool,
pubmed-meshheading:1500752-Humans,
pubmed-meshheading:1500752-Infant,
pubmed-meshheading:1500752-Infant, Newborn,
pubmed-meshheading:1500752-Lipopolysaccharides,
pubmed-meshheading:1500752-Meningitis, Meningococcal,
pubmed-meshheading:1500752-Meningococcal Infections,
pubmed-meshheading:1500752-Middle Aged,
pubmed-meshheading:1500752-Neisseria meningitidis
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pubmed:year |
1992
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pubmed:articleTitle |
Compartmentalization of lipopolysaccharide production correlates with clinical presentation in meningococcal disease.
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pubmed:affiliation |
Department of Infectious Diseases, Ullevål University Hospital, Oslo, Norway.
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pubmed:publicationType |
Journal Article
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