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Citramalic acid in cerebrospinal fluid of patients with bacterial meningitis
Journal article   Peer reviewed

Citramalic acid in cerebrospinal fluid of patients with bacterial meningitis

S Perlman and S A Carr
Clinical chemistry, Vol.30(7), pp.1209-1212
07/1984
DOI: 10.1093/clinchem/30.7.1209
PMID: 6145530

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Abstract

Cerebrospinal fluid (CSF) from uninfected patients and from patients with bacterial and viral meningitis was analyzed by gas-liquid chromatography, with use of a flame ionization detector, and by gas chromatography-mass spectrometry. The resulting profiles were consistent and reproducible. Hydroxy acids were the compounds found in greatest abundance in both normal and infected CSF. Control experiments to establish the sensitivity and efficiency of the extraction and derivatization methods are also presented. Constituents of CSF from patients with bacterial meningitis differed quantitatively and qualitatively from those of CSF from uninfected patients or patients with nonbacterial infections. CSF from seven of eight patients with bacterial meningitis contained citramalic acid, a compound not previously identified in either normal or infected CSF. The implications of these findings are discussed.
Kyphosis - cerebrospinal fluid Fatty Acids - cerebrospinal fluid Gas Chromatography-Mass Spectrometry Humans Neurotransmitter Agents - metabolism Child, Preschool Hydroxy Acids - cerebrospinal fluid Meningitis, Viral - cerebrospinal fluid Myelography Scoliosis - cerebrospinal fluid Meningitis - cerebrospinal fluid Flame Ionization Trimethylsilyl Compounds - analysis Adolescent Adult Neurofibromatosis 1 - cerebrospinal fluid Bacterial Infections - cerebrospinal fluid Malates - cerebrospinal fluid Child

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