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Meningitis facts
From Meningitis lecture WCMC
| Question | Answer |
|---|---|
| Increased mortality in Meningitis if | Old age, decreased mental status, seizure, hypotension |
| What are the viral etiologies of meningitis? | Adenoviruses - Edenoviruses and Coxsacchie are 90%. Also HSV 2, West Nile virus |
| Newborn etiologies? | Group B streptococci, E coli, Listeria |
| Children 6months to 6 years | Strep Pneumoniae, N. Meningitis, H Influenza B, Enteroviruses |
| 6-60 years | N. meningitidis, Enteroviruses, S. Pneumoniae, HSV 2 |
| 60+ | S. Pneumoniae, Gram negative rods, Listeria |
| What are Brudzinksi and Kernig's Sign? | Brudzinski - Flexion of neck causes flexion of hips/knee Kernig's sign - Patient supine. Thigh flexed on abdomen, knee flexed, Extension of knee discomfort |
| Differences in CSFs of Bacterial/viral? | Pressure/Cell Type/ Protein/ Sugar |
| In HIV/immunocompromised | Cryptococcus, CMV, toxoplasmosis, JC virus (PML), Listeria |