Aani Micro: Meningitis

Question 1

What are the types of meningitis?

Answer 1

Acute
Chronic
Aseptic

Question 2

Which bacterial organisms cause meningitis in normal adults? ( and gram stain)

Answer 2

Niesseria meningitidis = gram neg Cocci

Streptococcus Pneumoniae = gram pos diplococci

Question 3

Which bacterial organisms cause meningitis in neonates? (and gram stain)

Answer 3

Same as adults PLUS
Group B strep
AND 
Listeria- gram pos rods
AND E.Coli - gram neg rods

Question 4

Which bacterial organisms cause meningitis in elderly?

Answer 4

Same as adults PLUS
Group B strep
AND 
Listeria- gram pos rods
AND Mycobacterium TB (usually chronic)

Question 5

Which viral organisms cause meningitis?

Answer 5

Coxsakie, mumps, HSV2

Question 6

Which fungal organisms cause meningitis?

Answer 6

Cryptococcus neoformans

Question 7

CSF results. What will this be:

High protein
Low glucose`
high polymorphs

Answer 7

Bacterial meningitis

Polymorphs = bacterial

Question 8

CSF results. What will this be:

Very High protein
Low glucose`
High mononuclear cells- lymphocytes

Answer 8

TB/cryptococcus meningitis

Question 9

CSF results. What will this be:

High protein
Normal glucose
high polymorphs

Answer 9

Partially treated bacterial meningitis

Polymorphs = bacterial

Question 10

CSF results. What will this be:

High protein
Normal glucose
High mononuclear cells - lymphocytes

Answer 10

Viral meningitis

Question 11

How do you treat adult meningitis?

Answer 11

Ceftriaxone 2mg bd IV
And add Ampicillin for listeria
Use amoxicillin if immunocompromised
Add acyclovir if encephalitis