Meningitis

Question 1

Neisseria meningitidis is what type of bacteria?

Answer 1

gram -ve diplococcus

Question 2

What is the most common caustive organism of meningitis in neonates?

Answer 2

Group B streptococcus

Question 3

Signs and symptoms of meningitis?

Answer 3

Lethargy
Headache
Rigors
Vomiting
Rapidly developing purpuric skin rash (sign of meningococcal septicaemia causing DIC)
Hypovolaemic shock
Waterhouse Friderichsen syndrome (adrenal gland haemorrhage and septic shock)

Question 4

Management of bacterial meningitis?

What is the post exposure prophylaxis for meningitis?

Answer 4

IM/IV benzylpenicillin STAT

Ciprofloxacin/Rifampicin

Question 5

CSF lumbar puncture

Answer 5

Appearance: Bacterial (cloudy), viral (Clear)

Protein: Bacterial (high), viral (normal)

Glucose: bacterial (low), viral (normal)

WCC: Bacterial (high neutrophils), viral (high lymphocytes)