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CNS Infection (Bacterial) > Bacterial Infection > Flashcards

Bacterial Infection Flashcards

1
Q

CSF sensitive indicator or presence of active neurosyphilis infection

A
  1. pleocytosis > 1000 cells (lower in AIDS)
  2. elevation of CHON
  3. Elevated Oligoclonal bands
  4. (+) serologic test
  5. Normal glucose
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2
Q

In Brucellosis, Blood:CSF titer is elevated at

A

1:640 and 1:128 respectively

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3
Q

Treatment of Anthrax

A

Penicillin

if bioengineered: Ciprofloxacin , RIfampicin and Meropenem

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4
Q

What infections may manifest with petechial rash?

A

S. Aureus
Echovirus type 9
Enterovirus

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5
Q

Most frequent cranial nerve affected in Lyme disease

A

Facial nerve

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6
Q

Most common pathogenic organism in infants and unvaccinated child

A

E. Coli and Group B Strep

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7
Q

Pathologic changes in syphilitic optic atrophy

A

perioptic meningitis with subpial and fibrosis replacing degenerated optic nerve fiber

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8
Q

Immediate effect of bacteria in the subarachnoid space

A

inflammatory reaction in pia, arachnoid and CSF

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9
Q

When will you give AED

A

a. cortical vein thrombosis

b. seizure occured

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10
Q

Prognosis of Legionella

A

resolves rapidly and completely

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11
Q

What finding is present in post traumatic meningitis?

A

CSF rhinorrhea

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12
Q

Disease associated with M. Pneumonia?

A

a. GBS
b. Aseptic meningitis
c. Hemorrhagic leukoencephalitis (hurst)
d. Myositis
e. Cranial Neuritis

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13
Q

MRI findings in sarcoidosis

A

T2 signal abnormality (similar to demyelinating)

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14
Q

Frequency of meningovascular syphilis

A

35%

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15
Q

What is duration of reassessment of patient with syphilis

A

every 3-6 months and CSF should be retest 6 months interval

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16
Q

Organism that causes Lyme Disease

A

Borrelia Burgdorferi

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17
Q

Why is thrombosis occurs more in veins than arteries

A

Thinner walls and slower current of blood flow

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18
Q

How many percent of patient with abscess will have permanent neurological deficit

A

30%

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19
Q

Striking pathological findings in tabes dorsalis

A

thinning and grayness of posterior roots (lumbar)

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20
Q

Most common organism implicated to abscess (3)

A

Streptococci, anaerobic and microaerophils

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21
Q

What is prognosis if the treatment is late and coma supervene

A

50% mortality rate

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22
Q

this condition originates with osteomyelitis in a cranial bone from an infection in the ear

A

cranial epidural abscess

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23
Q

In transverse lateral sinus thrombophlebitis the following tends to spread in

A

Jugular bulb

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24
Q

What are the CNS involvement of Legionella?

A

diffuse brainstem and cerebellar syndrome

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25
Q

Mortality rate of TBM

A

10% (highest in children)

21% AIDS

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26
Q

What is the organism involve in Whipple Disease

A

Gram (+) B. Tropheryma Whipplei

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27
Q

How many percent sarcoidosis affects the CNS

A

25%

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28
Q

What is the duration of antibiotic therapy?

A

10-14 days

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29
Q

Criteria of neuroborreliosis

A
  1. no past history of neuroborreliosis
  2. active CSF ELISA serology
  3. anti-borrelia antibody index greater than 2
  4. favorable outcome after specific antibiotic treatment
  5. No alternative diagnosis
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30
Q

Drug of choice in epidural abscess

A

Vancomycin +/- cephalosporin

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31
Q

Condition described as autosplenectomized?

A

Sickle cell anemia

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32
Q

All dural sinuses drain to

A

Internal jugular vein

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33
Q

Suspected in the presence of evolution and extremely rapid delirium and stupor and when the onset is attended by stupor

A

Meningococcemia

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34
Q

layers of invasion (superficial to deep)

A

dura-subdura space-pia arachnoid - BRAIN

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35
Q

Meningitis associated with alcoholics, splenectomized and very elderly patients

A

S. Pneumoniae

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36
Q

Dose of steroids in children

A

0.15mg/kg for 4 days

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37
Q

This condition starts with unilateral axillary cervical adenopathy?

A

Cat scratch disease

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38
Q

Treatment of choice in Borreliosis

A

Doxycycline 100mg BID 14 days (early stage)

If involvement of CNS may give ceftriaxone 2g daily

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39
Q

Treatment of Aspergillosis

A

Amphotericin with voriconazole and echinocandins

Itraconazole for less immunocompromised patients

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40
Q

In trauma, what are the portal of entry of S. Pneumoniae?

A

Frontal and ethmoid

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41
Q

treatment duration of blastomycosis

A

6 weeks

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42
Q

How many reduction of risk if given prophylaxis op h. influenzae

A

2-4%

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43
Q

What parameters in the CSF will last to disappear even after the infection subsides

A

Glucose

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44
Q

What is Bannwarth Syndrome

A

Painful meningoradiculitis of the cauda equina

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45
Q

Cranial nerve abnormality is frequent in what type of meningitis?

A

S. Pneumoniae

invasion of nerve by exudate or ischemic damage as nerve traverses SAS

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46
Q

Diagnostic tool for cat scratch disease

A

PCR; elevated complement fixing titer

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47
Q

What anti-koch medication causes optic neuritis

A

Ethionamide and Ethambutol

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48
Q

Meningovascular syphilis accounds for how many percent of neurosyphilitic syndromes

A

10%

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49
Q

Oculomastica movement is seen in what condition

A

Whipple Disase

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50
Q

This condition associated wth chronic sijnusitis with osteomyleitis at the base of skull as a complication of otitis and mastoiditis

A

Aspergillosis

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51
Q

What bacteria will have sharp decline of incidence after 50 years?

A

N. Meningitidis

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52
Q

Describe the capsule of abscess

A

Thinner medial (paraventricular)

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53
Q

What part of cavernous where there is involvement of superior and inferior petrosal veins

A

posterior

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54
Q

Jugular foramen syndrome may involves the torcula in this condition

A

Transverse sinus thrombophlebitis

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55
Q

What is the mainstay therapy to sarcoidosis

A

Corticosteroids

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56
Q

What is adjunct to amphotericine that shows to decrease the relapse and more rapid sterilization of CSF

A

Flucytocine 100mg/kg/d

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57
Q

Treatment of TB CNS infection

A

HRZE - 2months or HRZ + moxifloxacin

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58
Q

layers of exudates

A

Inner - next to pia made up of lymphocytes

Outer - beneath the arachnoid made up of fibrin and neutrophils

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59
Q

What is the sinus affected when it manifest as monoplegia and homonymous hemianopia

A

Septic Thrombosis of Superior Sagittal Sinus

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60
Q

Symptomatology of subdural empyema

A

chronic history of sinusitis and mastoiditis

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61
Q

MRI findings in bacterial meningitis

A

meningeal exudates
cortical reaction
venous occlusion

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62
Q

Most common site of subdural empyema

A

Frontal and ethmoid

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63
Q

Most significant factor in the pathogenesis of meningitis

A

Maternal infection

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64
Q

The most indispensable part of examination of patients with signs of meningitis

A

Lumbar puncture

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65
Q

Late effects or sequelae of Meningitis (3)

A
  1. Meningeal fibrosis around optic nerves and SC
  2. chromic meningoencephalitis
  3. Persistent hydrocephalus
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66
Q

Prognosis of paretic syphilis

A

Fairly good with antibiotics
40-50% disease arrested but dependent
Death occurs 3-4 years without treatment

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67
Q

Earliest stage in meningitis?

A

neutrophilis in Virchow-Robin space

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68
Q

This organism is common in immunocompromised and debilitated individuals

A

L. Monocytogenes

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69
Q

Neurological syndromes of Lyme Disease (3)

A

Acute radicular pain
chronic lymphocytic meningitis
peripheral and cranial neuropathies

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70
Q

3 common etilology of Encephalitis associated bacterial meningitis

A

a. M. Pneumonia
b. L. Monocytogenes
c. Legionairres Disease

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71
Q

Late syndrome of syphilis

A

vascular syphilis

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72
Q

Mycoplasma is how many percent of all pneumonia

A

10-20%

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73
Q

Cefepime and cefepime are given in the presence of this kind of organism?

A

Pseudomonas

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74
Q

Osler Triad

A

Pneumococcal meningitis
Pneumonia
Endocarditis

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75
Q

TB PCR has ____ sensitivity

A

80%

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76
Q

Organism that causes abscess secondary trauma, surgery, drug addicts

A

S. Aureus

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77
Q

how much dose of amphotericin reduction permits by amphotericine

A

0.3-0.5mg/kg/d

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78
Q

Drug of choice for N. Meningitidis

A

Penicillin and Ampicillin

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79
Q

Cranial nerve involved in CST

A

III, IV and VI

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80
Q

Criteria in prediction of very low risk of bacterial meningitis (if they lack the following)

A
  1. (+) GS
  2. Absolute neurtophil is 1000cells
  3. CSF CHON is 80mg/dl
  4. absolute neutrophil 10,000 atleast
  5. History of Sz at the presentation
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81
Q

Culture method used in TB culture

A

Ziehl Nielsen

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82
Q

Drug of choice in syphilis

A

Pen G IV 18-24 million uniys for 10-14 days

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83
Q

How many percent of subacute neuroapthies and facial palsies resolve in 1 year after treatment in Lyme Disease

A

90%

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84
Q

Infection causes substantial hemorrhage in CSF (5)

A
  1. Hanta virus
  2. Dengue Fever
  3. Ebola virus
  4. Amebic meningoencephalitis
  5. Anthrax meningitis
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85
Q

Ratio of sex in neonatal meningitis

A

3:1

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86
Q

What is the neurological picture of Aspergillosis

A

Infectious vasculitis

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87
Q

Most common site of sarcodiosis

A

Peripheral lymph node

lung-liver-skin

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88
Q

How many percent culture proves positive in bacterial meningitis

A

70-90%

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89
Q

What is the location of subdural epyema

A

Outer arachnoid and inner dura

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90
Q

Drug of choice in abscess

A

Vancomycin

2nd/3rd gen cephalosporin or meropenem or metronidazole +/- oxacilin

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91
Q

What infection causes focal cerebral vasculitis in AIDS

A

Cat scratch disease

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92
Q

MRI findings of abscess

A

T1 - enhance capsule and restriction diffusion

T2 - capsule is HYPOINTENSE

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93
Q

Where do abscess resides when the focus is middle ear infection

A

anterolateral wall of cerebellum

middle and inferior temporal lobe

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94
Q

Most common cranial nerve involved in primary neurosarcoidosis

A

Facial (part of uveoparotid syndrome)

95
Q

What organism causes cat scratch disease

A

Bartonella hensalae

96
Q

What cellular components first to disintegrate during process of resolution?

A

Neutrophils (4th day)

97
Q

TB myeloradiculitis is affected in 2 ways:

A
  1. Compressing the spinal roots and cord
  2. Exudates invades the parenchyma
  3. In the form of tuberculous osteomyelitis of spine (epidural abscess)
98
Q

Describe the lesion of sarcoidosis

A

collection of epitheloid cells surrounded by rim of lymphocytes

99
Q

IV drug users the most common cause organism causing bacterial meningitis

A

S. Aureus

100
Q

When does seizure occur in transverse thrombophlebitis

A

When there is spread in SSS and cortical veins

101
Q

In the presence of rapidly evolving cerebral signs secondary to abscess, one should suspect this

A

Septic emboli

102
Q

Age predilection of Whipples Disease

A

middle age

103
Q

What is the drug of choice for Listeria

A

Ampicillin 2gm/IV q4 with Gentamicin in 3 divided dose

104
Q

What is the drug of choice for S. Aureus

A

Cefepime
Ceftazidime
Vancomycin

105
Q

This is transmitted through ingestion of domesticated livestoke

A

Brucellosis

106
Q

Otitic infection resulting to abscess is due to what organism

A

Enteric

107
Q

What is the single most effective drug in TBmeningitis

A

INH 5mg/kg

108
Q

Mode of spread in otogenic and rhinogenic in abscess

A

Direct extension

Hematogenous

109
Q

Mechanism of disease of M. Pneumoniae

A

a. Present in CNS during acute illness

b. Autoimmune opperative

110
Q

First step in the presence of focal lesions and increased ICP

A

CT/MRI

111
Q

What is the drug of choice in Intensive eradication (melioidosis)

A

IV Ceftazidime 10 days

112
Q

What drugs will you prescribe if the patient is allergic to penicillin or cephalosporin

A

Chlorampenicol

113
Q

Skin reactions are observed in the following conditions:

A

PPP

114
Q

Hypotonia and insensitivity of bladder is secondary to:

A

deafferentation of s2 and s3

115
Q

what parameters should be monitored if given amphotericin

A

BUN at critical level 40mg/dL

116
Q

treatment of tabes dorsalis

A

treated symptomatically

117
Q

This condition demonstrate high level of neurotropism if left untreated

A

Borreliosis

118
Q

Majority of route of brain abscess is

A

Metastatic “hematogenous”

119
Q

Gold standard in diagnosis of Lyme Disease

A

ELISA (acute and convalescent)

90% (+) IgM

120
Q

What is the treatment of SSS septic thrombosis

A

Antibiotic
Heparin
AED

121
Q

What artery is implicated in syphilitic meningitis

A

Heubner arteritis

122
Q

When does focal cerebral lesions or intractable seizure develops in meningitis

A

2nd week

123
Q

Fraction of LDH associated with bacterial meningitis

A

Fraction 4 and 5 (derived from granulocytes)

Fraction 1 and 2 (derived from brain)

124
Q

What is the size of abscess that appears in the scans

A

1 cm and above

125
Q

Only manifestation of Asymptomatic Neurosyphilis

A

Argyll Robertson

126
Q

How does subdural empyema gain entry? (2)

A

a. direct extension

b. Spread of septic emboli

127
Q

Where is the lesion if there is 5th or 6th nerve involvement in cranial epidural abscess

A

petrous part of temporal bone

128
Q

What organism causes Melioidosis

A

Burkholderia Pseudomallaei

129
Q

Chief signs of tabes dorsalis (3)

A

absent DTRs
impaired vibratory and positional sense
Romberg sign

130
Q

2 stage of pathogenesis of TB meningitis

A

a. bacterial seeding of meninges and pial

b. Rupture of one or more tubercles and spread to SAS

131
Q

What is prognosis of syphilitic optic atrophy

A

poor if vision of both eyes is greatly reduced

132
Q

CSF findings of subdural empyema

A

Erosion of sinus or nose erosion

meningeal enhancement

133
Q

How do abscess travel in cerebellum

A

thru transverse sinus

134
Q

Congenital Heart Disease is how many percent of all abscess

A

5%

135
Q

Biopsy finding of jejunum of whipples

A

Macrophage filled with PAS

136
Q

What is found in spinal fluid that helps to diagnose sarcoidosis

A

angiotensin converting enzymes

137
Q

When is VDRL diagnostic to syphilis

A

if CSF is (+); negative in late-onset

138
Q

How many percent of cases where organism can be detected in spinal fluid in Lyme’s Disease

A

30%

139
Q

Cell components of the central zone of caseation in TB meningitis

A

Epitheloid cells
Giant cells
Lymphocytes
Plasma Cells

140
Q

Subacute form of meningitis may take a form of the following (3)

A
  1. Hydrocephalus
  2. Subdural effusion
  3. Venous and arterial infarction
141
Q

Aseptic reaction in neurosyphilis is secondary to

A

AIDS

142
Q

What is the over all mortality rate of bacterial meningitis

A

5%

143
Q

Antibiotic for subdural empyema

A

3rd Gen Cephalosporin

Metronidazole

144
Q

Sensitive test for partially treated meningitis?

A

Counterimmunoelectrophoresis

145
Q

What condition may take a form of rhombencephalitis

A

L. Monocytogenes

146
Q

How many percent of AIDS patient are subject to Blastomycosis

A

6-12%

147
Q

What is the benefits of corticosteroids in Meningitis

A

a. fever subside rapidly

b. decrease the incidence of SNHL

148
Q

If the abscess is located in frontal and sinus where is usually the focus?

A

Sinuses

149
Q

Give 4 foci of brain abscess

A

Purulent pulmonary infection
Bacterial endorcarditis
Paranasal sinus
Middle ear infection

150
Q

What are the indication in giving patients with steroids in TB meningitis

A

SAH block

Raised ICP

151
Q

Striking feature of nearly all type of subacute and chronic features

A

Subintimal fibrosis

152
Q

What dose of steroids shown to reduce the mortality and improve overall outcome if given?

A

1st dose of antibiotic

153
Q

Seizure is almost encountered in what type of bacterial meningitis

A

H. Influenzae

154
Q

Why is spinal and cranial nerves will not early manifest during infection despite being surrounded by exudates?

A

perineural sheath become infiltrated by inflammatory after several days

155
Q

What is the benefits of corticosteroids in Meningitis

A

a. fever subside rapidly
b. decrease the incidence of SNHL
c. reduced coma and sezuyre
d. decreased incidence of deafness

156
Q

Treatment of Legionella

A

Fluroquinolones

Levofloxacin, Moxifloxacin, Azithromycin and RIfampin

157
Q

What medication can be given as prophylaxis to H. influenzae

A

Single dose of Ciprofloxacin
or
Rifampicin 60mg q12 in adult or 10mg q12 in children

158
Q

Neurologic manifestation of Lyme Disease

A

Aseptic Meningitis
Meningoencephalitis
cranial and peripheral neuritis

159
Q

What is given in brain swelling

A

Mannitol

160
Q

Treatment of choice in Cryptococcosis

A

Amphothericin 0.7-1mg/kg/d

161
Q

Most common pathogenic organism in adults

(4)

A

S. Pneumonia
meningococcus
H. Influenza (unvaccinated children)
L. Monocytogenes

162
Q

If odontogenic in origin of abscess what is the drug of choice

A

Penicillin + Metronidazole

163
Q

treatment for M. Pneumoniae infections

A

Macrolides

164
Q

Fungal infections occur in setting of the following conditions:

A

Leukopenia

Inadequate T-Lymphocytes function

165
Q

Major site of infection (in order) in thrombophlebitis

A
  1. Transverse
  2. Cavernous
  3. Petrous
  4. Sagittal Sinus
166
Q

Contraindication for surgery in abscess

A
  • deep
  • multiple
  • aspiration should be done stereotactically
167
Q

How many reduction of mortality if patient is given with steroids in TB meningitis

A

41-32%

168
Q

What is the early reaction to bacterial invasion secondary to abscess

A

Localized inflammation
septic thrombosis
Aggregates of degenerating leukocytes

169
Q

Most common cause of meningitis associated with lumbar puncture

A

Klebsiella and Proteus

170
Q

Do you need to continue to treat weakly positive VDRL in the presence of normal cells and protein levels?

A

No

171
Q

How many percent neurological sequalae observed in

a. children c HiB
b. child and adult with pneumoccocal

A

a. 25%

b. 30%

172
Q

What is the location of headache in abscess

A

post-auricular and occipital

173
Q

Candidate for Surgery in Abscess (4)

A
  • solitary
  • superficial
  • well encapsulated
  • associated with foreign body
174
Q

Most important neurological deficit in subdural empyema

A

seizure

175
Q

How is steroids given in TB meningitis

A

0.4mg/kg daily

Tapering dose at 3-6 weeks

176
Q

Duration of treatment of TB meningitis and tuberculoma

A

9-12 months

177
Q

Organism that is implicated in persistent pleocytosis

A

Nocardia, Aspergillus, and Actinomyces

178
Q

neurologic manifestation of whipples

A

dementia, ataxia, supranuclear ophthalmoplegia adn myoclonus

179
Q

What gram negative organism causing fatal respiratory disease

A

L. Pneumophilia

180
Q

2 pathways of bacterial infections to intracranial structures?

A
  1. hematogenous

2. direct extension

181
Q

The infection is zoonotic in brucellosis by:

A

Ingestion of raw milk

182
Q

fungal infection that may occur in both normal and immunocompromised host

A

Crytococcosis

183
Q

Characteristic CSF findings of Anthrax

A

hemorrhagic and inflammatory

184
Q

What medication will you add if the culture yields positive for L. Monocytogenes?

A

Ampicillin

185
Q

What is the rim of abscess represents

A

Fibroblast

186
Q

Portal of entry of Blastomycosis

A

Respiratory tract

187
Q

2 etiology associated with acute toxic encephalopathy

A

Reye syndrome and post infectious encephalitis

188
Q

What is the percent of patients left with neurological deficits (survivors)

A

20-30%

189
Q

What organism that has not been isolated in brain and spinal fluid

A

Legionella

190
Q

2 pathway of meningitis

A
  1. infected thrombi form in diploic vein –> dural sinuses

2. osteomylelitic focus erode the inner table of bone

191
Q

Treatment of Whipple Disease

A

Penicillin or ceftriaxone 2 weeks then TMP SMX 1 year

192
Q

Pathologic changes in cryptococcosis

A

granulomatous meningitis with cystic nodules in deep brain (cryptococcomas)

193
Q

What cells predominates in CSF in patient with Listeria

A

PMN

194
Q

What is the mechanism of Deafness in meningitis

A

Suppuration of cochlear of ototoxic effect of aminoglycosides
Scala tympani is connected to SAS

195
Q

What thrombophlebitis where there is no antecedent infection can be recognized?

A

Cavernous sinus thrombophlebitis

196
Q

Drug of Choice for Nosocomial Meningitis

A

Vancomycin

Cephalosporin (3rd Gen)

197
Q

Other causes of neonatal meningitis

A 
Obstetric abnormalities (3rd quarter)
prolong labor
premature infants
198
Q

deformity of charcot joints occurs in ____ percent of tabetics

A

less than 10%

199
Q

Differential Diagnosis of CST (4)

A
  1. Mucormycosis
  2. Carcinomatosis of sphenoid bone
  3. Wegeners Granulomatosis
  4. Sphenoid wing mengioma
200
Q

Subependymal astrocytes that protrude to ventricles

A

Granular ependymal lining

201
Q

What should be suspected in infants with meningitis

A

unilateral or bilateral subdural effusion

202
Q

What condition where iron is deposited in mononuclear cells

A

Paretic Syphilis

203
Q

Metastatic focus from lungs and paranasal sinuses that cause abscess is secondary from what organism

A

Anaerobic strep

204
Q

treatment of brucellosis

A

Doxycycline and streptomycin/gentamicin
or
Doxycyclin and rifampin

205
Q

This condition is due to modified bacillus with exaggerated celullar immune response to limited class of antigen

A

Sarcoidosis

206
Q

What is lacking in patients with blastomycosis1

A

headache fever and stiffneck usually present with increased ICP

207
Q

2 Phases of Melioidosis

A

A. Intensive eradication

B. Eradication

208
Q

Lightning pains may respond to what medication in syphilis

A

Gabapentin or Carbamazepine

209
Q

What is the CSF picture of tuberculoma

A

Same but glucose is not reduced

210
Q

Pathologic changes in meningovascular syphilis

A

Inflammation and fibrosis of small arteries (Heubner arteritis)

211
Q

Clinical picture of syphilitic meningitis

A

No fever

CSF is lymphocytic predominates

212
Q

How many percent of TB meningitis develop Papilledema

A

20%

213
Q

Laboratory findings and CSF of Legionella

A

Normal

214
Q

Most common organism in subdural empyema

A

a. streptoccocus

b. bacteroides

215
Q

2 serologic diagnosis of syphilis

A

VDRL and FTA-ABS

216
Q

What are the things to suspect in patient with recurrent bacterial meningitis

A

Congenital neuroectodermal sinus

Fistulous connection between nasal sinus and SAS

217
Q

Brain abscess is usually situated _______________ artery

A

Distal MCA

218
Q

When is treatment should stop in syphilis

A

No symptoms for 6 months and normal CSF

219
Q

What is the drug of choice in eradication (Melioidosis)

A

Cotrimoxazole +/- Doxycycline

220
Q

Pathophysiology of hydrocephalus in TB meningitis

A

Blockage of the basal cisterns

221
Q

Analgesia and joint sensitivity in tabes dorsalis are caused by

A

Partial loss of A and C fibers in the roots

222
Q

What geographical regions Meliodosis is common

A

South East Asia

223
Q

Skin manifestation of Lyme Disease

A

Erythema chronicum migrans

224
Q

Reactions of bacteria to meningeal venules and capillaries (4)

A

Hyperemia
Increase Permeability
Exudation
Migration

225
Q

6 Causes of thrombophlebitis?

A
  1. Ear infection
  2. Mastoiditis
  3. Paranasal sinus
  4. Skin ad upper lips, nose
  5. Complication of meningitis, epidural abscrss and brain abscess
  6. Trauma to large veins
226
Q

Most common bacteria producing meningitis (4)

A
  1. H. influenza
  2. N. Meningitidis
  3. S. Pneumonia
  4. L. Monocytogenes
227
Q

Differential Diagnosis of Sarcoidosis

A 
MS
Sjohrens
SLE
LGV 
Cryptococcus
228
Q

Early clinical syndrome of syphilis

A

aseptic meningitis

229
Q

Differential diagnosis of Abscess

A 
Tuberculoma
Metastatsis
Toxoplasmosis
Subdural hematoma
Resolving cerebral hemorrhage
230
Q

Antibiotic Regimen of Bacterial Meningitis in Adults and Children

A

3rd Gen Cephalosporin

Vancomycin

231
Q

If ELISA is positive for Lyme Disease what is the next step

A

Westernblot or immnoblot analysis

232
Q

Associated with Osler Reundu Weber Telangiectasia aided by effect of venous stasis

A

Pulmonary AVM

233
Q

Mortality rate of surgery in abscess

A

5-10%

234
Q

What anti-koch medication cross BBB

A

INH and PZA

CNS Infection (Bacterial) (1 decks)

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