Bacterial CNS Infection Flashcards
gram-negative diplococci found in the upper respiratory tract
neisseria meningitidis
gram-negative rods found in the GI tract
escherichia coli (usually in young, elderly, and immunosuppressed)
gram-negative coccobacilli found in the upper respiratory tract
haemophilus influenzae (not seen very much because of effective vaccine)
gram-positive cocci in short chains found in GI tract and lower female genital tract
streptococcus agalactiae (GBS)
what type of hemolysis is expected with Group B Strep?
subtle beta hemolysis
gram-positive cocci in short chains found in the upper respiratory tract
streptococcus pneumoniae (can see “halo” of capsule, can differentiate based on positive P disk–optichin and alpha-hemolysis)
gram positive cocci in clusters found in skin, nares
staphylococcus aureus (also beta hemolytic, catalase +, coagulase +)
gram-positive facultative intracellular rods found in GI tract
listeria monocytogenes (can cause meningitis in children)
acid-fast bacillus in lower respiratory tract
mycobacterium tuberculosis
spirochete that disseminates from the urogenital tract
treponema pallidum (Syphilis)
spirochete transmitted by black legged ticks
borrelia burgdorferi (Lyme disease)
what are the 3 most likely causes of bacterial meningitis in newborns?
1) GBS, 2) E. Coli, 3) L. monocytogenes
what are the 2 most likely causes of bacterial meningitis in people >3mo old?
1) Strep pneumoniae, 2) N. meningitidis
what is opisthotonos, and what is it a sign of?
rigidity with arched back and head thrown backwards, seen in infants, sign of meningitis
where is the greatest risk of getting meningitis?
the meningitis belt in central Africa (meningococcal form)