Common causes of meningitis (Pg. 176) - C

Question 1

CC of meningitis in:

CC of meningitis in: Newborn (0-6mo)

Answer 1

• Group B streptococci
• E coli
• Listeria

Question 2

CC of meningitis in:

CC of meningitis in: Children (6mo-6yrs)

Answer 2

• S pneumoniae
• N meningitidis
• H influenzae type B
• Enteroviruses

Question 3

CC of meningitis in:

CC of meningitis in: 6-60yrs

Answer 3

• S pneumoniae
• N meningitidis (#1 in teens)
• Enteroviruses
• HSV

Question 4

CC of meningitis in:

CC of meningitis in: 60yrs +

Answer 4

• S pneumoniae
• Gram ⊝ rods
• Listeria

Question 5

CC of meningitis in:

(Ignore^.)

T/t for meningitis?

Answer 5

Give ceftriaxone and vancomycin empirically (add ampicillin if Listeria is suspected).

Question 6

CC of meningitis in:

CC of meningitis in: Viral

Answer 6

• enteroviruses (especially coxsackievirus)
• HSV-2 (HSV-1 = encephalitis)
• HIV
• West Nile virus (also causes encephalitis)
• VZV.

Question 7

CC of meningitis in:

CC of meningitis in: HIV

Answer 7

• Cryptococcus spp.

Question 8

CC of meningitis in:

(Ignore^.)

CSF findings in bacterial meningitis (Opening pressure, Cell type, Protein, Glucose)

Answer 8

• OP: ↑
• CT: ↑ PMNs
• Pro: ↑
• Gluc: ↓

Question 9

CC of meningitis in:

(Ignore^.)

CSF findings in fungal/TB meningitis (Opening pressure, Cell type, Protein, Glucose)

Answer 9

• OP: ↑
• CT: ↑ Lymphocytes
• Pro: ↑
• Gluc: ↓

Question 10

CC of meningitis in:

(Ignore^.)

CSF findings in viral meningitis (Opening pressure, Cell type, Protein, Glucose)

Answer 10

• OP: NL/↑
• CT: ↑ Lymphocytes
• Pro: NL/↑
• Gluc: NL