Meningitis

Question 1

A 22 year old university student comes in with a headache, neck stiffness and photophobia. You are such a pro that you clinically diagnose him with meningitis. Which is the most common form of meningitis in a patient of his age?

Bacterial meningitis due to Haemophilus influenzae
Bacterial meningitis due to Neisseria meningitides
Bacterial meningitis due to Streptococcus pneumoniae
Fungal meningitis
Viral meningitis

Answer 1

Viral Meningitis

Question 2

A 22 year old university student comes in with a headache, neck stiffness and photophobia. You are such a pro that you clinically diagnose him with meningitis.
What investigation do you think is most likely to give you the diagnosis?

Bloods
CT scan
Lumbar puncture
MRI scan
Ultrasound scan

Answer 2

LP

Question 3

You are given the following results of the lumbar puncture. The appearance of the fluid is clear, there is raised protein and normal glucose. Lymphocyte count is raised. What is the most likely cause now?

Bacterial meningitis
Drug-induced meningitis
Fungal meningitis
TB meningitis
Viral meningitis

Answer 3

Viral

Neutrophil count would be raised in bacterial

Question 4

Buzzwords Streptococcus pneumonia meningitis

Answer 4

G+ve cocci, elderly

Question 5

Buzzwords Neisseria meningitides meningitis

Answer 5

G-ve diplococci

Question 6

Buzzwords Listeria monocytogenes meningitis

Answer 6

neonates/elderly): Cheese/unpasteurised milk, alcoholics

Question 7

Buzzwords Haemophilus influenzae meningitis

Answer 7

children): Unvaccinated children

Question 8

Buzzwords Group B streptococcus meningitis

Answer 8

neonates): Extended labour, infection in prev. pregnancy

Question 9

Buzzwords Escherichia coli meningitis

Answer 9

Late neonatal infection

Question 10

Buzzwords Mycobacterium tuberculosis meningitis

Answer 10

Chronic infection. Also, results of CSF sample