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C-reactive protein: a valuable acute investigation. A case of pneumococcal meningitis presenting as ankle pain
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  • Published on:
    C-reactive protein: a valuable acute investigation. A case of pneumococcal meningitis presenting as

    Dear Editor

    I agree with the points made by Dr Hughes in the approach to the battery of tests that are often made in the undifferentiated patient. Too often a false positive test result occurs which means we have two choices to carry out another battery of tests which may produce further equivocal results or ignore the result. If the patient then later presents with a serious condition we will then be critiscised by...

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    Conflict of Interest:
    None declared.
  • Published on:
    CRP is not a useful investigation

    Dear Editor,

    Huntley and Kelly neatly illustrate the prevailing approach to the use of investigations in clinical practice in their case report in the most recent edition of the EMJ. (C reactive protein a valuable acute investigation. A case of pneumococcal meningitis presenting as ankle pain).

    They eschew reason in favour of randomness, and when an occasional result proves positive, congratulate themsel...

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    Conflict of Interest:
    None declared.
  • Published on:
    CRP in the Emergency Department

    Dear Editor,

    I read with interest the report of a case of pneumococcal meningitis presenting as ankle pain.[1] Although it discussed the management of an interesting and highly unusual patient, I found it hard to follow the logic of the conclusion that "CRP is an important investigation for emergency departments".

    As the authors state, C-reactive protein is an acute phase protein. Levels of CRP are elevat...

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    Conflict of Interest:
    None declared.