Beruflich Dokumente
Kultur Dokumente
Singh sir
(Head of Department) Medicine
Guided by
Good Afternoon
Ranwant singh
Roll no. :-93 Batch:-2008
ACUTE MENINGITIS
EPIDEMIOLOGY
Bacterial meningitis top 10 10infectious infectious Bacterial meningitisis is1 1 of the top causes of deathworldwide worldwide causes of death
There was 650 deaths were reported in 6386 cases in the year 2009 in India .
ETIOLOGY
Common bacteria :---
Streptococcus pneumoniae
Neisseria meningitidis
Uncommon bacteria
Staphylococcus aureus
Staphlylococcous epidermidis
Group B streptococci
E. coli
Klebsiella
Listeria monocytogens
Rare bacteria
Salmonella
Shigella
Clostridium perfingens
Neisseria gonorrhoeae
Age group
Organism
Neonates
N.meningitidis, S.pneumoniae
Elderly or immunocompromised
Routs of infection
(1) : - Hematogenous spread :- Eentry into the SAS
blood vessels.
(otitis media).
(3):- Anatomic defect of CNS:- Like surgery and trauma . (4):- Direct intraneural:- Organism like rabies virus it
CLINICAL FEATURE
Clinical features
Fever Headache Vomiting Seizure Impairment of consciousness Photophobia Stiff neck & back Sixth nerve palsy
(1):-Fulminant onset The patient become seriously ill within 24 hrs without RTI (25%) (2):-Meningitis developing over 1-7 days and associated with respiratory symptoms (50%)
Signs:Neck rigidity
Kernig's sign
Kernigs sign:-
The incidence is very low , about 1 case reported per 1 lack population per month .
Common viruses
Enterovirus
Coxsackie virus
Echovirus
HIV
Epstein-Barr virus
Headache is usually frontal or retro orbital Fever Photophobia Pain on moving eye Neck rigidity Myalgia Anorexia Nausea Vomiting Abdominal pain Diarrhea Mild lethargy Altered consciousness Seizures
Absent
absent
Feature Sign of heamolysis (Dark urine) Blood for malaria parasite CSF finding
Meningitis
absent
Encephalitis
absent
Cerebral malaria
present
May present
Neutrophils pleocytosis, lymphocyte normal Protein increases predominant Glucose-decrease Protein increase glucose
Reference
18 th Edition of Harrisons
Principles of Internal Medicine.
Thank You