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.
CSF protein may be normal or mildly increased in viral meningitis. In most cases of viral meningitis the protein concentration is <100 mg/dL. In contrast, acute bacterial meningitis is usually associated with a CSF protein concentration between 100 and 500 mg/dL. CSF protein is almost always high in tuberculous meningitis. CSF protein elevation occurs in 20% of patients with primary syphilis and 30-70% with secondary syphilis.