ArticleFrontiers in pediatrics2025
Case Report: Glucose transporter 1 deficiency syndrome misdiagnosed as bacterial meningitis.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Glucose transporter 1 deficiency syndrome (Glut1DS), caused by Method: Retrospective analysis of two patients with Glut1DS admitted to our hospital between July 2023 and July 2025. Clinical features, cerebrospinal fluid (CSF) profiles, genetic testing, and responses to ketogenic diet (KD) were evaluated. Both cases were preliminarily diagnosed with bacterial meningitis in local hospitals based on low CSF glucose levels. Results: Case 1: A 15-day-old male infant with fever and lethargy had persistently low CSF glucose (1.2-1.64 mmol/L; CSF/blood glucose ratio: 0.22-0.32). He was diagnosed as atypical bacterial meningitis and underwent empirical antibiotic therapy lasting over 30 days. Genetic testing confirmed Conclusion: low CSF glucose is a critical diagnostic clue for Glut1DS, not exclusive to CNS infections. In infants with seizures, developmental delays, or motor dysfunction, CSF analysis and targeted
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