Cerebrospinal fluid xanthochromia in acute bacterial meningitis as a red herring for subarachnoid haemorrhage: A case report

*1Adesokan, M. A., and 2Akbari, A. R.

1Emergency Department, University Hospital Ayr, Ayrshire, Scotland, United Kingdom

2King’s Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust, Nottinghamshire, United Kingdom

*Correspondence to: Adedapo.muideen@nhs.net; dapoadesokan@gmail.com

ORCiD: 0000-0003-3132-945X

 

Abstract:

 This article presents a case that highlights the importance of excluding underlying intracranial pathology in a patient presenting with severe headache and positive xanthochromia. This case report demonstrated that false-positive xanthochromia without subarachnoid haemorrhage (SAH) is possible in acute bacterial meningitis when there is a combination of traumatic lumbar puncture and either hyperbilirubinaemia or raised cerebrospinal fluids (CSF) protein. Continue reading “Cerebrospinal fluid xanthochromia in acute bacterial meningitis as a red herring for subarachnoid haemorrhage: A case report”