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.

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