Meningitis Flashcards
Underlying cause of subcutaneous haemorrhage in non-blanching rash
DIC
Meningococcal meningitis is confirmed when
Bacteria infecting meninges + CSF
Definition of meningococcal septicaemia
Meningococcus bacteria infection in bloodstream
Bacterial meningitis common causes in adult + children
- N meningitidis
- strep pneumoniae
Bacterial meningitis common cause in neonates
Group B strep
Buzzwords for bac meningitis
- neck stiffness
- photophobia
- non-blanching rash
- vomiting
Neonates non-specific symptoms of bac meningitis (to be aware of)
- bulging fontanelle
- hypotonia
- poor feeding
- lethargy
- hypothermia
LP is indicated in <1m and <1yr if they have
Fever
LP is indicated in 1-3m if they have
Fever + unwell
Kernig’s test confirms meningitis if (2)
- spinal pain
- resistance
Brudzinski’s test confirms meningitis if
Severe neck stiffness when hips and knees are flexed
Community Abx bac meningitis
IM/IV benzylpenicillin
Hospital Abx (& steroids) bac meningitis
- cefotaxime + amoxicillin
- vancomycin
- dexamethasone
Post-exposure prophylaxis
Single dose ciprofloxacin
3 viruses that cause meningitis
- HSV
- enterovirus
- VZV