Meningitis Flashcards

1
Q

Principales bacterias meningiis bacteriana

A
  • S. Pneumoniae
  • N. meningitis
  • H. influenzae
  • L monocytogenes
  • S agalactie
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2
Q

Principal bacteria en neotatos

A

S AGALACTIE
E. COLI
L. MONOCYTOGENES

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3
Q

Triada clásica de meningits

A
  • Fiebre
  • Cefalea
  • Rigidez de nuca
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4
Q

Px en riesgo

A

Neumópatas
Diabéticos
Inmunodeficiencia
Tabaquismo intenso
Alcoholismo

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5
Q

Hallazgos típicos en LCR

A
  • Apertura 200-500
  • Leuco 1000-5000
  • Neutrófilos >80%
  • Proteínas 100-500
  • Glucosa <40
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6
Q

Tx para meningitis bacteriana

A
  • Cefalosporinas 3ra G
  • Ampicilina
  • Penicilina G
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7
Q

Tx para meningitis por S. pneumoniae

A

Vancomicina + cefalosporina 3ra G

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8
Q

Cefalosporinas de 3ra G

A
  • Ceftriaxona
  • Cefotaxima
  • Ceflixima
  • Ceftazidima
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9
Q

Duración del tx por casos sin complicaciones

S. pneumoniae y n meningitis

A

7-14 días

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10
Q

Duración tx en px inmunosupremidos y casos difíciles de tratar

A

Prolongado, hasta 3 semanas

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11
Q

En que casos sirve la dexametasona

A

Meningitis por neumococo

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12
Q

Tx inicial para meningitis aguda

A
  • Vancomicina
  • Ceftriaxona
  • Ampicilina
  • Aciclovir
  • Dexametasona
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13
Q

Secuelas de meningitis bacteriana

A
  • Pérdida de visión
  • Déficit motor
  • Alteraciones del lenguaje
  • Parálisis del N craneal
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