Systems (meningitis) Flashcards
What are common causes of meningitis in
Neoborns (GEL)
- GBS
- E.coli
- Listeria
What are common causes of meningitis in
Children 6 mo-6 yr
(HENS)
- H. influenzae type B
- Enteroviruses
- N. meningitis
- S. pneumoniae
What are common causes of meningitis in
6-60 yr
SHEN
- S. pneumoniae
- HSV
- Enterovirus
- N. Mengitidiis
What are common causes of meningitis in
60+
GLS
- Gram - rods
- Listeria
- S. pneumoniae
How do you treat meningitis
what if its caused by listeria what do you add?
- Give Ceftriaxone and vancomycin
- Listeria: add ampicillin!
What are common causes of meningitis in
Viral?
- Enteroviruse (esp coxsackievirus
- HSV-2 (HSV-1 causes encephalitis)
- HIV
- West Nile virus
- VZV
What are common causes of meningitis in
HIV
- Cryptococcus
- CMV
- Toxoplasmosis (brain abscess)
- JC virus (PML)
*
Incidence f H influenzae menigitis has greatly decreased with introduction of what?
Cases are seen in what type of pts?
- Conjugated H influenzae vaccine (last 10-15 yrs)
- Today’s pts are unimmunized children
CSF findings in meningitis
Bacterial
- Opening pressure
- Cell type
- Protein
- Sugar
CSF findings in meningitis
Bacterial
- Opening pressure: inc
- Cell type: inc PMNS
- Protein: inc
- Sugar: dec
CSF findings in meningitis
Fungal/TB
Opening pressure
Cell type
Protein
Sugar
CSF findings in meningitis
Fungal/TB
- Opening pressure: inc
- Cell type: inc lymphocytes
- Protein: inc
- Sugar: dec
CSF findings in meningitis
Viral
Opening pressure
Cell type
Protein
Sugar
CSF findings in meningitis
Viral
- Opening pressure: normal/inc
- Cell type: inc lymphocytes
- Protein: normal/in
- Sugar: normal
