Microbiology Flashcards
How does chronic meningitis present, and what are the likely causative pathogens?
Headaches for months
TB or Cryptococcus neoformans
What are the common causative bacteria in meningitis, and how would you differentiate them on a Gram stain?
Neisseria meningitides - pink/red = Gram -ve
Streptococcus pneumoniae - violet = Gram +ve
What are the most likely causative bacteria of meningitis in the elderly?
GBS
Listeria monocytogenes
Mycobacterium tuberculosis (subacute)
What are the risk factors for meningitis caused by N. meningitides?
Complement deficiency
Hyposplenism
Hypogammaglobulinaemia
What are the risk factors for meningitis caused by S. pneumoniae?
Complement deficiency Hyposplenism Immune defect (alcoholic) Infection (pneumonia) Entry fracture Previous head trauma with CSF leak
What antibiotic covers Listeria in meningitis management?
Ampicillin
What investigations should be done for suspected meningitis?
Blood cultures Serum-Ag EDTA-PCR Throat swab LP