QUESTION IMAGE
Question
which of the following isoenzyme would be elevated in a patient that presents with meningitis?
a) ldh-4
b) cpk-bb
c) cpk-mb
d) cpk-mm
CPK - BB (creatine phosphokinase - brain type) is predominantly found in the brain. In meningitis, which is an inflammation of the meninges (membranes surrounding the brain and spinal cord), damage to brain tissue can lead to the release of CPK - BB into the bloodstream, causing its elevation. LDH - 4 is more associated with other tissues and processes, CPK - MB is mainly related to heart muscle, and CPK - MM is mainly related to skeletal muscle.
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b) CPK - BB