Meningitis

Question 1

What are the expected findings on LP in bacterial meningitis?

Answer 1

Decreased glucose
Increased protein
Neutrophilic leukocytosis

Question 2

Main causative organisms in neonatal meningitis

Answer 2

Gram neg rods e.g. E. Coli
GBS e.g. strep agalactiae
Listeria monocytogenes

Question 3

How would you treat a bacterial meningitis

Answer 3

Dexamethasone to reduce ICP
Antibiotics
- Empirical (Ceftriaxone or cefotaxime)
- Targeted after sensitivities

Question 4

Cause of meningitis that isn’t seen much now? Why?

Answer 4

Haemophilus influenza

Question 5

List 3 main bacterial causes of meningitis in adults and the elderly

Answer 5

Neisseria meningitis
Strep pneumoniae
Haemophilus Influenza/ Listeria monocytogenes