finals Flashcards
(52 cards)
inflammation of the meninges
Meningitis
Found in the brain
Protective layers which can surround the brain and spinal cord
Meninges
benign type of meningitis
Viral meningitis
A type of meningitis that if not given medical attention, can be fatal
Bacterial meningitis
Meningitis that occurs in immunocompromised patients
Fungal meningitis
Organism that is rare but fatal
Naegleria fowleri
Occurs in children and teens (60%), adults (20%)
Neisseira meningitidis (meningoccoccus)
Occurs in newborns and infants (45%), adults (60%), senior citizens (70%)
Streptococcus pneumoniae (pneumococcus)
The previously most common cause of meningitis (before vaccine)
Haemophilus influenzae
- 70% cases in newborns
Streptococcus agalactiae (group B streptococcus)
- gold standard and most definitive test for diagnosing meningitis
Lumbar Puncture
protects the spinal cord; acts to help remove waste products
CSF
- assess complications like cerebral edema or hydrocephalus (abnormal buildup of CSF)
Imaging Studies
A patient with autoimmune disease can acquire meningitis
Antimicrobial therapy for Bacterial meningitis
broad spectrum antibiotics and corticosteroids (for inflammation)
Antimicrobial therapy for Viral meningitis
antiviral medications and pain relievers
Antimicrobial therapy for Fungal meningitis
antifungal therapies
- first line treatment for meningitis
BROAD-SPECTRUM ANTIBIOTICS
reserved for severe infections or those resistant to other antibiotics
Vancomycin
serious side effect of Vancomycin
TEN SJS (Toxic Epidermal Necrolysis ; Stevens-Johnson Syndrome)
cytomegalovirus meningitis– occurs in patients with weakened immune system
Ganciclovir (Cytovene) or Foscarnet (Foscavir)
for meningitis caused by herpes simplex virus
Acyclovir (Zovirax)
used as mainstay for decades; quite toxic and requires intravenous administration
Amphotericin B
given in combination with amphotericin b to improve effectiveness and potentially shorten treatment duration
Flucytosine