Meningites - SF Flashcards

1
Q

Epidemiologia

A

Meningite bacteriana é definida como cultura positiva / se negativa é asseptica

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2
Q

Meningite medicamentosa

A

Imunoglobulina pode causar

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3
Q

Meningite por espiroquetas

A

Sifilis e lyme

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4
Q

Patogenos mais comuns de meningite bacteriana

A

Strepto pneumonie (mais comum) / Nosocomial - stafilo aureus e BGNs

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5
Q

Causa mais comum de meningite viral

A

Enterovirus - mais comum, ocorre mais no verao

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6
Q

Fisiopatologia

A

Superficie bacteriana induz inflamacao&raquo_space; lesao da barreia hematoencefalica&raquo_space; leva a edema vasogenico e HIC&raquo_space; leva a isquemia cerebral e apoptose neuronal

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7
Q

Qual triade classica de meningite

A

Febre, rigidez e consciencia

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8
Q

Defina rombencefalite

A

Encefalite que atinge tronco encefalico - alteracao de multiplos nervos cranianos

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9
Q

Meningite por pneumococo

A

IVAs, otite, trauma de cranio

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10
Q

Meningite por meningococo

A

Purpura, contato com meningite

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11
Q

Meningite por listeria

A

Romboencefalite

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12
Q

Meningite por stafilo aureus

A

Drogas ilicitas injetaveis, neurocirurgia

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13
Q

Meningites agudas

A

Por virus e bacterianas

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14
Q

Meningites cronicas

A

Geralmente por tuberculose e fungos

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15
Q

Tratamento empirico de meningoencefalite

A

Ceftriaxona + aciclovir + ampicilina se > 50 anos

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16
Q

Como é o gram no LCR

A

Diplococo + - pneumococo, diplococo neg - meningococo, cocobacilo neg - hemofilos, cocobacilo + - listeria

17
Q

Indicacoes de profilaxia dos contactantes

A

So para meningococo, faz com cipro, rifampicina, ceftriaxona / contatos proximos - secrecoes ou prolongada (>8h) em proximidade