Meningitis Flashcards Preview

HDID Block 2 > Meningitis > Flashcards

Flashcards in Meningitis Deck (11):
1

Which bug will cause ACUTE meningitis - die within 24 hrs of presenting with fever?

N.meningitidis

2

Drugs for meningitis prophylaxis

Rifampin
Cipro
Ceftriaxone

3

Presenting symptoms for meningitis + SIRS

Fever
Lethargy - somnolent
Headache
Low BP
High HR
Meningismus = stiff neck
Petechial rash + purpura = SIRS

4

Drugs for meningitis

Ceftriaxone + vanco
START ASAP

5

What do you expect to see for meningitis on LP

High opening pressure
High WBC
Low glucose
High CSF protein

6

How does liver disease affect bacterial infection?

Delayed clearance of bacteremia

7

What bug are you think about for meningitis post URI?

Strep pneumo

8

What is an atypical cause of meningitis? Risk factors/presentation.

Listeria monocytogenes
- Ate soft cheese/bad dairy
- Elderly
- Immunocompromised

9

Treat L.monocytogenes meningitis

Ampicillin

10

What is aseptic meningitis?

Not caused by pyogenic bacteria
Aka due to viruses, non-pyogenic bacter, fungi, parasites

11

What is the key difference between aseptic and bacterial meningitis?

Bacterial: HIGH CF WBC - mostly PMN
Aseptic: moderate CF WBC - mostly lymphocytes > PMN