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To the Editor:—
I am confused by the statement, "physicians must generally be relieved—and occasionally elated—to find a normal spinalfluid sugar content and normal gram stain in a patient who has symptoms of meningitis" in the editorial entitled "Viral Meningitis," in the April 26, 1965, issue of The Journal (192:322).My confusion results from the fact that I do not know what a "normal gram stain" consists of. It is my understanding that the correct reporting of the examination of cerebrospinal fluid, by gram-staining, should consist of either "no microorganisms seen, gram-positive, or gram-negative bacteria seen." I would appreciate your comments on this subject.
Parker RH. Normal Gram Stains. JAMA. 1965;192(10):921. doi:10.1001/jama.1965.03080230127037