2.4 Micro Bacterial Meningitis

Question 1

briefly describe CSF lab findings in Bacterial meningitis

Answer 1

Increased leukocytes, primarily neutrophils & low level of glucose

Question 2

list a few clinical symptoms in acute bacterial meningitis in adults

Answer 2

Fever, headache & nuchal rigidity, Brudzinski or Kernig sign +, Altered mental status

Question 3

list a few clinical symptoms in acute bacterial meningitis in infants/neonates

Answer 3

Fever, lethargy & irritability, Bulging fontanelle, Seizures

Question 4

likely bacteria: Age 0-4 weeks

Answer 4

Listeria monocytogenes, GBS

Question 5

likely bacteria: Age 4-12 weeks

Answer 5

S agalactiae, Streptococcus pneumoniae, Neisseria meningitidis

Question 6

likely bacteria: Age 3 months to 18 years

Answer 6

N meningitidis, S pneumoniae

Question 7

likely bacteria: Age 18-50 years

Answer 7

S pneumoniae, N meningitidis

Question 8

Age >50 years or immunocompromised

Answer 8

S pneumoniae, N meningitidis, L monocytogenes,