IM Essentials: Ch. 74 - Approach to Meningitis and Encephalitis

Question 1

Encephalitis is almost always caused by _____________.

Answer 1

viral infection

Question 2

The strain of N. meningitidis that is not covered by vaccines is ___________.

Answer 2

B

Question 3

Listeria meningitis is more common in those with what features?

Answer 3

Alcoholism, malignancy, immunosuppression, diabetes mellitus, hepatic failure, kidney failure, iron overload, collagen vascular disorders, neonate, and HIV infection

Question 4

What viruses most commonly cause aseptic meningitis?

Answer 4

The Picorniviridae virus family:

• Echovirus
• Poliovirus
• Enterovirus

Also HSV

Question 5

Dexamethasone should be given ____________________ in those with bacterial meningitis.

Answer 5

prior to or with the first dose of antibiotics