Meningitis Flashcards
Meningitis
inflammation of the meninges
causes
strep pneumoniae
haemophilus influenzae
Neisseria meningitides
Listeria
what is the common cause in neonates
Group B strep
signs
headache photobia neck stiffness fever confusion
investigations
CSF
bloods
what is the bacterial and viral picture on CSF
bacterial:
high protein, low glucose
viral:
normal protein
lymphocytosis
glucose more than half there serum level
management
ceftriaxone
aciclovir - suspected encephalitis
IM benzylpenicillin - meningococcal disease
what is given to people who have been exposed
rifampcin or ciprofloxacin
complication
sensorineural hearing loss
what else should be given in bacterial meningitis to help improve outcome
IV dexamethasone
what are viral causes of meningitis
herpes simplex virus
varicella
enterovirus