Finals - Microbial Diseases of the Nervous System-2nd - Sheet1 Flashcards
The nervous system has two main parts:
central nervous system
peripheral nervous system
is made up of the brain and spinal cord
central nervous system
is made up of nerves that branch off from the spinal cord and extend to all parts of the body
peripheral nervous system
protect brain and spinal cord
Meninges
Layers of the meninges
Dura mater
Arachnoid mater
Pia mater
Outermost layer of the meninges
Dura mater:
Middle layer of the meninges
Subarachnoid space contains cerebrospinal fluid (CSF)
Arachnoid mater:
Innermost layer of the meninges
Pia mater:
highly selective semipermeable border that separates the circulating blood from the brain and extracellular fluid in the central nervous system (CNS)
Blood–brain barrier-
Inflammation of meninges
Meningitis:
Inflammation of the brain
Encephalitis:
Inflammation of both the meninges and the brain
Meningoencephalitis:
Initial symptoms of fever, headache, and stiff neck
Followed by nausea and vomiting
May progress to convulsions and coma
Diagnosis by Gram stain and latex agglutination of CSF
Treatment: Cephalosporins, vancomycin
Bacterial Meningitis
Spinal needle is inserted, usually between the third and fourth lumbar vertebrae
Spinal Tap (Lumbar Puncture)
Occurs mostly in children (6 months to 4 years)
Gram-negative aerobic bacteria, normal throat microbiota
Capsule antigen type B
Symptoms: fever, nausea, sensitivity to light, headaches, stiff neck, anorexia, and seizures.
Prevented by Hib vaccine
Haemophilus influenzae Meningitis
Also called meningococcal meningitis
Caused by N. meningitidis
Gram-negative, aerobic cocci with a capsule
Person-to-person through droplets of respiratory or throat secretions from carriers
10% of people are healthy nasopharyngeal carriers
Begins as throat infection, rash
Neisseria Meningitis
Serotypes B, C, Y, W-135 can be found in
U.S.
Serotype B is found in
Europe
Serotype A is found in
Africa, China, and Middle East
Treatment for Nesseriria Meningitis:
Ceftriaxone or Cefotaxime( third generation cephalosporin)
Also called pneumococcal meningitis
Caused by S. pneumoniae (a gram-positive diplococcus)
Droplet thru sneezing or coughing
70% of people are healthy nasopharyngeal carriers
Most common in children (1 month to 4 years)
Mortality: 30% in children, 80% in elderly
Streptococcus pneumoniae Meningitis
Treatment for Streptococcus pneumoniae Meningitis
Penicillin or Erythromycin
Caused by Listeria monocytogenes
Gram-negative aerobic rod
Usually foodborne; it can be transmitted to fetus
Reproduce in phagocytes
Listeriosis
Listeriosis is caused by
Listeria monocytogenes