Village Office: 9090 Marietta St., PO Box 127, Bremen, OH 43107 â¢ 740-569-4788 â¢ info@BremenVillage.com. Click for Current Activities. Welcome to the Village of Bremen website! Well known for her tree-lined brick streets and Victorian architecture, Bremen is a quaint step back in time. Calm relaxation is a prevailing feel as you travel up and down our streets and enjoy the neighborliness of our residents.
In general, whenever the diagnosis of meningitis is strongly considered, a lumbar puncture should be promptly performed. Examination of the cerebrospinal fluid (CSF) is the cornerstone of the diagnosis. The diagnosis of bacterial meningitis is made by culture of the CSF sample.
1 CSF lactic acid â often used to distinguish between viral and bacterial meningitis; the level will usually be increased with bacterial and fungal meningitis while it will remain normal or only slightly elevated with viral meningitis. CSF lactate dehydrogenase (LD) â used to differentiate between bacterial and viral meningitis. 2  CSF C-reactive protein (CRP) is an acute phase reactant and is elevated with inflammation; it is markedly increased with bacterial meningitis.