1.42 Meningitis Case 2 Flashcards Preview

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Flashcards in 1.42 Meningitis Case 2 Deck (6)
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1

Explain pneumococcal meningitis....

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

2

Explain haemophilia meningitis...

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

3

Explain viral meningitis...

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

4

Explain fungal meningitis...

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

5

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,

6

Complications of meningitis...

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