Systems (meningitis)

Question 1

What are common causes of meningitis in

Neoborns (GEL)

Answer 1

• GBS
• E.coli
• Listeria

Question 2

What are common causes of meningitis in

Children 6 mo-6 yr

(HENS)

Answer 2

• H. influenzae type B
• Enteroviruses
• N. meningitis
• S. pneumoniae

Question 3

What are common causes of meningitis in

6-60 yr

SHEN

Answer 3

• S. pneumoniae
• HSV
• Enterovirus
• N. Mengitidiis

Question 4

What are common causes of meningitis in

60+

GLS

Answer 4

• Gram - rods
• Listeria
• S. pneumoniae

Question 5

How do you treat meningitis

what if its caused by listeria what do you add?

Answer 5

• Give Ceftriaxone and vancomycin
• Listeria: add ampicillin!

Question 6

What are common causes of meningitis in

Viral?

Answer 6

• Enteroviruse (esp coxsackievirus
• HSV-2 (HSV-1 causes encephalitis)
• HIV
• West Nile virus
• VZV

Question 7

What are common causes of meningitis in

HIV

Answer 7

• Cryptococcus
• CMV
• Toxoplasmosis (brain abscess)
• JC virus (PML)
  *

Question 8

Incidence f H influenzae menigitis has greatly decreased with introduction of what?

Cases are seen in what type of pts?

Answer 8

• Conjugated H influenzae vaccine (last 10-15 yrs)
• Today’s pts are unimmunized children

Question 9

CSF findings in meningitis

Bacterial

• Opening pressure
• Cell type
• Protein
• Sugar

Answer 9

CSF findings in meningitis

Bacterial

• Opening pressure: inc
• Cell type: inc PMNS
• Protein: inc
• Sugar: dec

Question 10

CSF findings in meningitis

Fungal/TB

Opening pressure
Cell type
Protein
Sugar

Answer 10

CSF findings in meningitis

Fungal/TB

• Opening pressure: inc
• Cell type: inc lymphocytes
• Protein: inc
• Sugar: dec

Question 11

CSF findings in meningitis

Viral

Opening pressure
Cell type
Protein
Sugar

Answer 11

CSF findings in meningitis

Viral

• Opening pressure: normal/inc
• Cell type: inc lymphocytes
• Protein: normal/in
• Sugar: normal