The CSF would reveal which of the following results in infections caused by N. fowleri?
a. Increased glucose, increased protein, and positive Gram stain
b. Decreased glucose, decreased protein, and negative Gram stain
c. Decreased glucose, increased protein, and negative Gram stain
d. Increased glucose, decreased protein, and positive Gram stain
C
An analysis of the CSF of N. fowleri infections will show decreased glucose and increased pro-tein concentrations. The leukocyte count will range from several hundred to greater than 20,000 cells per mm3 . Although Gram stains and bacterial cultures of CSF will be negative, serious pa-tient complications can occur as the result of incorrect therapy if false-positive Gram stains are reported.
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