Meningitis Flashcards Preview

Neurology > Meningitis > Flashcards

Flashcards in Meningitis Deck (39):
1

Name the top 3 MCC of meningitis in the newborn.

Group B streptococci
E. Coli
Listeria

2

MCC of meningitis in 6 months to 6 years?

N. Meningitidis

3

How does N. Meningitidis enter into the brain?

Enters via nasopharynx=>blood=>Brain

4

MCC of meningitis in Teens?

N. Meningitidis

5

For adults, MCC of Meningitis?

S. Pneumoniae

6

MCC of viral meningitis?

Enteroviruses (esp. coxsackievirus)

7

MCC of HIV meningitis?

Cryptococcus

8

MCC of unimmunized children?

H. Influ

9

What has reduced greatly with introduction of conjugate H. Influ vaccine?

H. Influ Meningitis

10

Stick Needle in between where?

L3-L5

11

For bacterial, CSF would show?

Low Sugar
High Protein
Increased PMNs

12

For Fungal, CSF would show?

Low Sugar
High Protein
Increased Lymphocytes

13

For Viral, CSF would show?

All are normal except increased Lymphocytes

14

Complications of meninigitis is most likely seen in?

Bacterial meningitis

15

What are these complications?

Herniation, Hydrocephalus, hearing loss

16

Treatment of Meningitis?

Ceftriaxone, vancomycin and add ampillcin if listeria is present

17

L3-L5 is at the level of

Cauda equina

18

Neisseria meningitidis can lead to wide spread?

DIC, Petechial rash, Adrenal Hemorrhage

19

Meningitis vaccine cover all capsules except?

B

20

Does Meningitidis ferment just glucose?

No, Maltose and Glucose

21

Two main virulence factor of Meningitidis?

IgA protease
Capsular

NessierCIA

22

HIV patient with headache and fever?

Cryptococcus

23

Cryptococcus is most commonly found in?

pigeon poop

24

Virulence factor of Cryptococcus?

Thick Polysaccharide capsule (repeating antigen)

25

Budding yeast with thick capsule?

Cryptococcus
(Sarcophagus)

26

Where does Cryptococcus first affect?

Lungs
(Coughing)

27

What do you see in an x-ray with Cryptococcus?

SOAP Bubble lesions
(SOAP BUBBLE on mummy)

28

Two tests to get Cryptococcus?

Latex Agglutinins (Latex gloves)
India Ink (Milwaukee Bucks)

29

Tx of Cryptococcus?

Amphotericin B+Flucytosine

30

Collection of students/Army recruits?

Nessieria Meningiditis

31

Kidney Bean-Shaped Gram neg. Cocci?

Nessieria Meningiditis

32

What in Nessieria Meningitidis causes death?

LOS outer membrane lipooligosaccharide

33

MCC of bacterial meningitis?

S. pneumoniae

34

Narrow Zone of ß-Hemolysis?

Listeria Monocytogenes

35

Listeria Monocytogenes description?

Tumbling motility

36

Does Listeria grow well in Cold Temperatures?

Yes

37

In what way does Listeria get into the body?

Cheese, unpasteurized milk

38

Tx of Meningitis?

Ceftriaxone (think Meningitidis) and ampicillin

39

Why do you add ampicillin to the Tx?

For Listeria