Meningitis

Question 1

characteristic of cerebrospinal fluid in bacterial meningitis ?

Answer 1

Appearance is cloudy
there is hypoglycaemia (less than half of plasma)
there is proteinemia >1g/l
there is high WBC - polymorphs

Question 2

Characteristic of CSF viral meningitis ?

Answer 2

Appearance is CLEAR or CLOUDY
60-80 percent of plasma glucose
protein is normal normal
high WBC - lymphocytes

Question 3

characteristic of CSF in tuberculous

Answer 3

CLOUDY WITH FIBRIN WEB
glucose again low (less than 1/2 of plasma )
high protein levels >1g/l
high WBC - LYMPHOCYTES not as much as viral and bacterial in the thousands

Question 4

characteristic of CSF in Fungal infection

Answer 4

appearance - cloudy
hypoglycaemic
protein is HIGH
high WBC - Lymphocytes not as much as viral and bacterial in thousands

Question 5

Golden standard to detect TB meningitis from CSF?

Answer 5

Ziehl nelson staining only 20 percent sensitive - need PCR high sensitivity

Question 6

common causes for viral meningitis ?

Answer 6

coxackie virus
echovirus
mumps
herpes simplex virus (HSV), cytomegalovirus (CMV), herpes zoster viruses
HIV
measles

Question 7

The findings of the lumbar puncture are typical for ‘aseptic meningitis’ of

Answer 7

enteroviruses are the most common - coxackie virus

Question 8

Cerebrospinal fluid: raised lymphocytes

Answer 8

viral meningitis/encephalitis
TB meningitis
partially treated bacterial meningitis
Lyme disease
Behcet’s,
SLE
lymphoma, leukaemia