A 15yr female patient develops loss of appetite cough followed by neck rigidity. CSF examination shows: glucose 40 mg, protein 150 mg%, chloride 52 meq/L and with full of lymphocytes. Which of the following the most likely diagnosis in this patient?
Tubercular meningitis Normal CSF findings Tuberculous CSF finding Viral CSF findings Bacterial CSF finding Gross appearance Clear (may clot) Clear Turbid Pressure Increased Increased Increased Glucose (40-70 mg/dl) Decreased Normal Decreased Protein (20-50) mg/dl Increased Normal Increase Chloride (116-122 mg/dl) Decrease Lymphocytosis Decrease Cells <5/u ; Pleocytosis (lymphoses but initially neutrophilia may be seen) Neutrophilia
Tubercular meningitis
Brain abscess
Bacterial meningitis
Viral encephalitis