ID Flashcards
The most common vital meningitis
P/w myalgia & sore throat, cough
Maculopapular rash
What is the diagnosis?
Confirmed by ?
Treatment?
Enterovirus meningitis
By enterovirus PCR
Treatment supportive
Fever , seizures, altered mental status, focal neurological deficits,
Temporal lobe abnormalities on imaging
Periodic lateralizing epileptiform discharges on EEG ?
HSV1 meningitis
HSV PCR
High dose of iv acyclovir for 14-21 days
Recurrent lymphocytic meningitis ?
Treatment?
- HSV2
- without acyclovir therapy
Encephalitis, aseptic meningitis, myelitis
Vasculitis presenting as a stroke
Vesicular lesions
Hemorrhagic CSF
VZV PCR
Iv acyclovir 10-14 days
Encephalitis, Maculopapular rash, acute flaccid paralysis, facial or arm tremors, Parkinsonism , myoclonus
MRI basal ganglia involvement
West Nile virus ( Mosquito borne viruses) encephalitis
- WNV IgM
- supportive
Aseptic meningitis with mononucleosis like syndrome
Fever, rash , myalgia
HIV meningitis
Lymphocytic meningitis, erythema migrans , facial paralysis
Lyme disease by Borrelia burgdorferi
Secondary or tertiary phase of syphilis
CSF lymphocytic pleocytosis & high protein
Meningovaacular ( stroke )
Treponema pallidum meningitis
Meningitis with Uveitis , rash , conjunctival suffusion
Lymphadenopathy and hepatosplenomegaly
Leptospiral meningitis
CSF or urine c/s or by serology
Meningitis & cranial neuropathy & SIADH
TB meningitis
Empirical therapy for health care associated meningitis
Vanco + cefepime or meropenem
Meningitis & Maculopapular rash
Enterovirus
West Nile virus
Aseptic meningitis
HSV2
VZ
ABx in uncomplicated cystitis
3 days trimethoprin sulfamethoxazole
5 days Nitrofurantoin
Single dose of fosfomycin
Abx in pregnancy for acute cystitis
7 days
- Amoxicillin-clavulanate
- Cefpodoxime
- Cefixime