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The role of lumbar puncture in meningococcal disease
  1. W I C SAM, Specialist Registrar in Medical Microbiology
  1. Greenwich District Hospital, Vanbrugh Hill, Greenwich SE10 9HE, UK

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    Editor,—The numbers of cases of meningococcal disease diagnosed clinically and by polymerase chain reaction (PCR) have increased, while the numbers of culture confirmed cases and lumbar punctures are falling.1 2 This changing trend in case ascertainment was noted by Gill.3 Pollardet al seem to support this trend,4 preferring to avoid lumbar puncture in all patients with “clinically obvious” meningococcal disease because it “adds little useful …

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