Meningitis

Question 1

Triad of Imaging Findings in TB Meningitis

Answer 1

Hydrocephalus
Basal Enhancements
Infarcts

Question 2

CSF findings in Acute Bacterial Meningitis

Answer 2

Pressure - ELEVATED
Protein - ELEVATED (100-500)
Glucose - ELEVATED

Question 3

CSF findings in Viral Meningitis

Answer 3

Pressure - NORMAL or SLIGHTLY ELEVATED
Protein - ELEVATED but not as elevated like bacteria (50-200)
Glucose - NORMAL or DECREASED

Question 4

CSF findings in Tuberculous Meningitis

Answer 4

Pressure - ELEVATED
Protein - ELEVATED (100-3000)
Glucose - <50%

Question 5

This should be performed in all patients with suspected meningitis

Answer 5

Blood Cultures

Question 6

Signs and symptoms of bacterial meningitis associated with these are highly suggestive of bacterial meningitis

Answer 6

NEUTROPHILIA

INCREASED SERUM CRP

Question 7

May be used to differentiate viral from bacterial meningitis

Answer 7

PROCALCITONIN

Question 8

Complications of Bacterial Meningitis

Answer 8

HACTIVE

Hydrocephalus
Abscess
Cerebritis/ CN involvement
Thrombosis
Infarct
Ventriculitis/Vasculopathy
Extra-axial fluid collection (empyema)

Question 9

Empiric antibiotics for bacterial meningitis in NEWBORN

Answer 9

Ampicillin OR Cefotaxime PLUS Aminoglycosides (Gentamicin)

Question 10

Empiric antibiotics for bacterial meningitis in 1 month - 18 y/o

Answer 10

Ceftriaxone OR

Chloramphenicol

Question 11

Empiric antibiotics for bacterial meningitis caused by Hib

Answer 11

Ceftriaxone (7-10 days)

Question 12

Empiric antibiotics for bacterial meningitis caused by S. pneumoniae

Answer 12

Penicillin (10-14 days)

Ceftriaxone

Question 13

Empiric antibiotics for bacterial meningitis caused by N. meningitidis

Answer 13

Penicillin (7 days)

Question 14

Empiric antibiotics for bacterial meningitis caused by E. coli

Answer 14

Cefotaxime (21 days)

Question 15

Empiric antibiotics for bacterial meningitis caused by GBS

Answer 15

Cefotaxime or

Ceftriaxone (14 days)