Pediatrics A CSF/serum glucose ratio of < 0.4 is highly suggestive of: A Bacterial Meningitis B Viral Meningitis C Carcinomatous Meningitis D Acanthameba meningitis 💡 Explanation A CSF/serum glucose ratio of < 0.4 is highly suggestive of: ✓ Correct Answer: A. Bacterial Meningitis