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Published on: July 1, 2018
Interleukin-8 in cerebrospinal fluid from patients with septic and aseptic meningitis
C Ostergaard1, T L Benfield, F Sellebjerg
1Department of Clinical Microbiology, Statens Seruminstitut, Copenhagen, Denmark.
Insights
Interleukin-8 (IL-8) levels in cerebrospinal fluid are higher in septic meningitis than aseptic meningitis. Measuring IL-8 aids in differentiating meningitis types, improving diagnosis.
Area of Science:
- Neuroscience
- Immunology
- Clinical Diagnostics
Background:
- Meningitis diagnosis relies on clinical signs and CSF analysis.
- Distinguishing between septic and aseptic meningitis is crucial for treatment.
- Interleukin-8 (IL-8) is a cytokine involved in inflammatory responses.
Purpose of the Study:
- To investigate cerebrospinal fluid (CSF) IL-8 concentrations in patients with suspected meningitis.
- To evaluate the utility of IL-8 in differentiating septic from aseptic meningitis.
- To correlate CSF IL-8 levels with other meningitis markers.
Main Methods:
- Monoclonal antibody enzyme immunoassay was used to quantify IL-8 in CSF.
- CSF samples were analyzed from 52 patients with suspected meningitis.
- Statistical analysis was performed to compare IL-8 levels and correlate with other parameters.
Main Results:
- CSF IL-8 concentrations were significantly elevated in septic meningitis compared to aseptic meningitis and controls.
- CSF IL-8 levels showed significant correlations with tumor necrosis factor-alpha, leukocyte and neutrophil counts, protein levels, CSF/blood glucose ratio, and hospitalization duration.
- At a cut-off of 3.00 µg/L, IL-8 demonstrated 81% sensitivity, 92% specificity, and 96% positive predictive value for distinguishing septic from aseptic meningitis.
Conclusions:
- CSF IL-8 is a valuable biomarker for differentiating septic from aseptic meningitis.
- IL-8 measurement can aid in the early and accurate diagnosis of meningitis.
- Further research may establish IL-8 as a standard diagnostic tool for meningitis.
Abstract:
Using a monoclonal antibody enzyme immunoassay, the concentration of interleukin-8 (IL-8) in cerebrospinal fluid (CSF) from 52 patients suspected of having meningitis was studied. The CSF IL-8 concentration was significantly higher in septic meningitis of known and unknown etiology than in aseptic meningitis and significantly higher in aseptic meningitis than in patients without meningitis. The CSF levels of IL-8 correlated with the levels of tumor necrosis factor-alpha, leukocyte count, neutrophil count, protein level, CSF/blood glucose ratio, and the number of days patients were hospitalized. The IL-8 values used to distinguish septic from aseptic meningitis, at a cut-off point of 3.00 micrograms/l, showed a sensitivity of 81%, a specificity of 92%, and a positive predictive value of 96%. The results suggest that determining IL-8 levels may be useful in the differential diagnosis of meningitis.
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