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Cited by 254

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Effects of Ampicillin and Corticosteroids on Brain Water Content, Cerebrospinal Fluid Pressure, and Cerebrospinal Fluid Lactate Levels in Experimental Pneumococcal Meningitis

Tauber, M. G., Khayam-Bashi, H., Sande, M. A.·1985·Journal of Infectious Diseases

Abstract

A study was made of the effects of antibiotics and corticosteroids on parameters that reflect brain dysfunction and potential neurological damage in experimental pneumococcal meningitis in rabbits. Brain water content was 398 +/- 10 g/100 g dry weight in normal rabbits and 410 +/- 11 g in rabbits after 24 hr of infection (P less than .001). Cerebrospinal fluid (CSF) lactate levels increased from 16.3 +/- 3.4 mg/dl to 69.5 +/- 28.2 mg/dl (P less than .001), and CSF pressure increased by +8.3 +/- 3.6 mm Hg (P less than .005) over the same interval. Antibiotic therapy with ampicillin sterilized CSF and normalized CSF pressure and brain water content in all animals within 24 hr, while CSF lactate levels remained elevated. Administration of methyl prednisolone, 30 mg/kg, or dexamethasone, 1 mg/kg, 15 and 22 hr after infection completely reversed the development of brain edema, but only dexamethasone also significantly reduced the increase in CSF lactate level (43.8 +/- 12.3 mg/dl) and CSF pressure (+1.8 +/- 2.7 mm Hg). Methyl prednisolone did not significantly affect pressure or lactate levels.

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Metadata

Authors
Tauber, M. G., Khayam-Bashi, H., & Sande, M. A.
Venue
Journal of Infectious Diseases
Published
1985-03-01
Volume
151
Issue
3
Pages
528-534
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2142095560
Cited by
254
References
1
FWCI
7.74
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Effects of Ampicillin and Corticosteroids on Brain Water Content, Cerebrospinal Fluid Pressure, and Cerebrospinal Fluid Lactate Levels in Experimental Pneumococcal Meningitis. https://app.cochat.ai/papers/10.1093/infdis/151.3.528
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Tauber, M. G., Khayam-Bashi, H., & Sande, M. A. (1985). Effects of Ampicillin and Corticosteroids on Brain Water Content, Cerebrospinal Fluid Pressure, and Cerebrospinal Fluid Lactate Levels in Experimental Pneumococcal Meningitis. Journal of Infectious Diseases. https://doi.org/10.1093/infdis/151.3.528

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