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Rules out bacterial meningitis in children with pleocytosis to avoid unnecessary antibiotics and hospitalization.
Positive CSF Gram stain (bacteria seen)
CSF absolute neutrophil count (ANC) ≥ 1,000/μL
CSF protein ≥ 80 mg/dL
Peripheral blood ANC ≥ 10,000/μL
History of seizure with this presentation
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