High TLC, CSF high counts with normal biochemistry
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Can someone guide me? A preterm female (32 wks) born by NVD. Had TLC of 48000 on day1, 62000 on day2. Neutrophils of 75%, normal platelets. Did Lumbar puncture on day 4 of life. CSF: 600 cells, all lymphocytes, protein 187mg%, sugar 62 mg% ( Pre LP RBS 92mg%). Would you think of starting Acyclovir? Or would you treat for bacterial meningitis?