CNS Infx

Question 1

-Complication of pyogenic head/neck infix. Can be bacterial, fungal or protozoic -HA most common, neuro deficits with expansion -MRI/culture -3rd Gen cephalosporin + metronidazole. Surgery

Answer 1

Brain Abscess

Question 2

-T. solium (pork tapeworm) -Fecal contamination -Sz, HA, focal neuro deficits, altered cognition, psychiatric dz -CT/MR, CSF -Albendazole, steroids

Answer 2

Cysticercosis

Question 3

-Infection of meninigies. Hematogenous spread. -Acute: bacterial (S. penumo or N. meningitides) or viral(aseptic) (coxsackle or HSV) Subacute: Myobacterium TB & fungi, cryptococcus -Fever, HA, Stiff neck, photophobia -LP -Ceftriaxone & vanco

Answer 3

Meningitis

Question 4

-Infx of brain parenchyma. Predominately viral (HSV, WNV, rabies) -AMS, HA, fever, Sz, neuro deficits, -Non-con CT; PCR of CSF -Acyclovir

Answer 4

Encephalitis