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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?

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High TLC, CSF high counts with normal biochemistry

Preterm 32 wks born by NVD. No H/O leaking PV or fever in mother. TLC on day1 was 48000, on day 2 was 62000, on day 5 was 35000. Had about 75% neutrophils, normal platelets, 5% metamyelocytes. Started on Cefotaxime and Amikacin on day 1. LP done on day 4 of life showed cell count of 600, all lymphocytes, protein of 187, sugat of 63mg% ( Pre LP RBS 92 mg%). Would you think of starting Acyclovir or treat as bacterial meningitis. CSF HSV PCR later came out to be negative. LP repeated on day 7 of li
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