Infection

Question 1

M/c organism causing meningitis overall

Answer 1

Streptococcus pneumoniae

Question 2

M/c organism causing meningitis in <2months of age

Answer 2

E. Coli

Question 3

M/c organism causing meningitis in 2-24months age

Answer 3

H. Influenzae

Question 4

C/F of meningitis in children

Answer 4

1. High grade fever
2. Seizures
3. Signs of meningeal irritation (neck stiffness, kernig’s sign, brudzinski’s sign) uncommon in <2yrs.
4. Irritable shrill cry
5. Bulging fontanelle.

Question 5

M/c/c of meningitis in children

Answer 5

Bacterial/pyogenic meningitis

Question 6

Hypoglycorrhachia

Answer 6

Reduced glucose levels in CSF analysis.

Seen in meningitis

Question 7

Complications of pyogenic meningitis in children

Answer 7

1. Seizures -m/c
2. increased ICP
3. Subdural effusion
4. Hydrocephalus (d/t pus blocking the subarachnoid space)
5. SNHL can be a sequelae of pyogenic meningitis. BERA done to assess deafness

Question 8

Corticosteroids in meningitis

Answer 8

1. Decreases inflammation-> edema decreases -> ICP decreases

2. Decreases incidence of SNHL

Question 9

Viral Meningitis-m/c/c India; Worldwide

Answer 9

India - JE virus via mosquito

World- Enterovirus

Question 10

Thalamus and basal ganglia changes in Mri m/c seen associated with which organism?

Answer 10

JE VIRUS

Question 11

Neonatal meningitis is not caused by

Answer 11

Neisseria meningitidis