1.42 Meningitis Case 2 Flashcards Preview

TSM > 1.42 Meningitis Case 2 > Flashcards

Flashcards in 1.42 Meningitis Case 2 Deck (6)
Loading flashcards...

Explain pneumococcal meningitis....

Gram positive
Heamolytic - spleen issues
Abrupt onset
Csf leaks
Lungs, ear and sinus focus
Puss in CNS - neurological deficits


Explain haemophilia meningitis...

Haemophilus influenzae type b (HIB)
Gram -ve coccobacillus
Children under 4
Poor living conditions
Sporadic - nurseries


Explain viral meningitis...

CSF sterile on culture - no organisms seen
Enteroviruses - Polio, ECHO, coxsackie, HIV, HSV, and mumps


Explain fungal meningitis...

Slow onset
Focal neurological signs - hydrocephalus, intracranial pressure
Treatment - antifungals
High likelihood of relapse


Explain tuberculosis meningitis...

• Mycobacterium tuberculosis - stain with Ziehl-Nielson
• Meningitis always secondary to TB elsewhere in the body - lungs, GI
• Chronic meningitis - time course in weeks
universally fatal without treatment
abnormal behaviour, confusion, insidious, cranial nerve palsies, convulsions, pappiloedema,


Complications of meningitis...

Hydrocephalus, Hearing loss, cranial nerve palsies, cognitive impairment, epilepsy, psyhoclogical, visual loss, increased ventricle size