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The current study identified 215 patients aged at least 17 years who had a positive cerebrospinal fluid culture for community-acquired bacterial meningitis from March 2006 to April 2007, Dr.
pneumoniae as a cause of community-acquired bacterial meningitis in adults in Taiwan, even in the absence of liver abscess or other sites of infection.
Measurement of CSF lactate concentration is not useful in suspected community-acquired bacterial meningitis, but a concentration greater than 4 mmol/L may be useful--as routine studies are not as useful in this setting--in determining the need to begin empiric antimicrobial therapy in postoperative neurosurgical patients until further data confirm or exclude meningitis.