{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T05:52:49Z","timestamp":1792129969492,"version":"4.4.0"},"reference-count":8,"publisher":"Korean Encephalitis and Neuroinflammation Society","issue":"4","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["encephalitisjournal.org"],"crossmark-restriction":true},"short-container-title":["encephalitis"],"published-print":{"date-parts":[[2026,10,10]]},"abstract":"<jats:p>Tuberculous meningitis (TBM) is a severe and often fatal form of extrapulmonary tuberculosis. We describe a case in which the initial cerebrospinal fluid (CSF) analysis showed no specific abnormalities, but a diagnosis was established after repeat CSF evaluation. A 41-year-old female presented with a 10-day history of persistent fever and headache. Initial CSF analysis demonstrated an opening pressure of 150 mmH2O, a white blood cell (WBC) count of 10\/\u03bcL, a glucose level of 50 mg\/dL, and a protein level of 31.4 mg\/dL. Despite treatment with an antiviral agent and doxycycline, her symptoms did not improve. A repeat CSF analysis demonstrated an opening pressure of 120 mmH2O, an elevated WBC count of 140\/\u03bcL (55% lymphocytes), a glucose level of 52 mg\/dL, and an elevated protein level of 201.6 mg\/dL, which was highly suggestive of TBM. This case highlights the importance of repeat CSF analysis based on clinical judgment when diagnosing TBM.<\/jats:p>","DOI":"10.47936\/encephalitis.2026.00115","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T08:02:12Z","timestamp":1786435332000},"page":"109-112","update-policy":"https:\/\/doi.org\/10.47936\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Tuberculous meningitis diagnosed on repeat cerebrospinal fluid analysis after unremarkable initial findings: a case report"],"prefix":"10.47936","volume":"6","author":[{"given":"Yoonjeong","family":"Na","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7498-5656","authenticated-orcid":true,"given":"Jung-Ju","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung-Kun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namoh","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle Sojung","family":"Youn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27912","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2004.45.3.453"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.25259\/jnrp_80_2023"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-4422(13)70168-6"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2017.120"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.01113-18"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.13525"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3109\/00365540903428158"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/s1473-3099(10)70138-9"}],"container-title":["encephalitis"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/encephalitisjournal.org\/upload\/pdf\/encephalitis-2026-00115.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/encephalitisjournal.org\/journal\/view.php?doi=10.47936\/encephalitis.2026.00115","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/encephalitisjournal.org\/upload\/pdf\/encephalitis-2026-00115.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T05:33:45Z","timestamp":1792128825000},"score":1,"resource":{"primary":{"URL":"http:\/\/encephalitisjournal.org\/journal\/view.php?doi=10.47936\/encephalitis.2026.00115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,10]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"URL":"https:\/\/doi.org\/10.47936\/encephalitis.2026.00115","relation":{},"ISSN":["2765-4559","2734-1461"],"issn-type":[{"value":"2765-4559","type":"print"},{"value":"2734-1461","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,10]]},"assertion":[{"value":"2026-06-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-10","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}