Meningitis Flashcards
Meningitis:
Causative organisms (7)
Neisseria meningitidis, Streptococcus pneumonia, Haemophilus influenzae, Listeria monocytogenes, Cryptococcus neoformans, Coccidioids, viruses
Meningitis: N. meningitidis, S. pneumoniae, H. influenzae, viruses
MoT
droplet
Meningitis: N. meningitidis
Virulence factors (3)
capsule, endotoxin, IgA protease
Meningitis: N. meningitidis
Culture/ Dx (3)
gram stain of CSF, rapid antigenic tests, oxidase test
Meningitis: N. meningitidis
Prevention (4)
conjugated vaccine, ciprofloxacin, rifampin, ceftriaxone
Meningitis: N. meningitidis
Treatment
penicillin G
Meningitis: N. meningitidis
Symptoms
petechiae, meningococcemia
Meningitis: S. pneumoniae
Virulence factors (4)
capsule, induction of apoptosis, hemolysin, hydrogen peroxide
Meningitis: S. pneumoniae
Culture/ Dx
gram stain of CSF
Meningitis: S. pneumoniae
Prevention
Prevnar and Pneumovax
Meningitis: S. pneumoniae
Treatment (3)
Penicillin G if sensitive; vancomycin + ceftriaxone
SERIOUS THREAT
Meningitis: H. influenzae
Virulence factor
capsule
Meningitis: H. influenzae
Culture/ Dx
culture on chocolate agar
Meningitis: H. influenzae
Prevention (4)
Hib vaccine, ciprofloxacin, rifampin, ceftriaxone
Meningitis: H. influenzae
Treatment
ceftriaxone