Beta
70680

Extra Domain A Containing Fibronectin Levels in The Cerebrospinal Fluid in Patients with Meningitis

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

-

Abstract

Meningitis is a life-threatening disease because of the inflammation's proximity to the brain and spinal cord. Untreated bacterial meningitis is almost always fatal; therefore it is important to differentiate bacterial meningitis from aseptic meningitis early. Objectives: To evaluate the role of Extradomain A (EDA) Fibronectien in diagnosis of meningitis and differentiation between bacterial and aseptic causes. Methods: This study was conducted on total number of 150 patient aged (18-60years old) suspected to have meningitis, 100 patients were excluded due to trauma, cerebrovascular stroke and CNS tumors. Patients were classified according to the CSF findings into 20 patients as bacterial meningitis group (group1) and 20 patients as aseptic meningitis group (group II). In addition to 10 cases of matched age and sex, free from any CNS diseases serving as control group (group III). All subjects were subjected to full history taking, clinical examination, laboratory investigations, and measurement of plasma and CSF EDA- FN levels using ELISA method. Results: CSF EDA- FN level at a cut off value less than 14.2mg/l have a sensitivity of (90%) and specificity of (85%) to differentiate between bacterial and aseptic meningitis (P-Value <0.001), while plasma EDA- FN level at a cut off value more than 2.45mg/l have a sensitivity of (75%) and specificity of (50%) to differentiate between bacterial and aseptic meningitis (p- value <0.05). Conclusion: CSF and plasma EDA-Fibronectin level can be used as a diagnostic marker in patients with meningitis. It can also differentiate between bacterial and aseptic meningitis.

DOI

10.21608/bmfj.2019.14422.1006

Authors

First Name

Adel

Last Name

Moustafa

MiddleName

-

Affiliation

Departement of Hepatology & Gastroenterology and infectious disease, Faculty of Medicine, Benha University, Egyp

Email

-

City

-

Orcid

-

First Name

Tamer

Last Name

Eleraki

MiddleName

-

Affiliation

Departement of Hepatology & Gastroenterology and infectious disease, Faculty of Medicine, Benha University, Egyp

Email

-

City

-

Orcid

-

First Name

Amira

Last Name

Abdelrahmanr

MiddleName

-

Affiliation

Department of Clinical & Chemical Pathology, Faculty of Medicine, Benha University, Egypt

Email

-

City

-

Orcid

-

First Name

Ghada

Last Name

khashbak

MiddleName

-

Affiliation

Hepatology & Gastroenterology and infectious disease Departement, Faculty of Medicine, Menoufia University, Egypt

Email

-

City

-

Orcid

-

Volume

36

Article Issue

2

Related Issue

10771

Issue Date

2019-02-01

Receive Date

2020-02-10

Publish Date

2019-02-01

Page Start

17

Page End

31

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_70680.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=70680

Order

2

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023