Beruflich Dokumente
Kultur Dokumente
Shashi
Shashi Vaish
Vaish
Paediatric
PaediatricSpR
SpR
AMNCH
AMNCH
Tallaght
Tallaght
CAUSES
Bacterial
Viral
Fungal
N.
N.meningitides
meningitides
G-ve
G-vediplococci
diplococci
E.Coli
E.Coli
G-ve
G-vebacilli
bacilli
Streptococci-GBS
Streptococci-GBS
G+ve
G+vecocci
cocci
Strep.
Strep.pneumoniae
pneumoniae
G+ve
G+vediplococci
diplococci
Bacterial Meningitis -
Organisms
Birth - 4 wks: GBS, E.coli
Clinical features
Tumbler (glass) test
DIAGNOSIS
Hx & PE
Investigations:
FBC Blood C/S
R/L/B Skin scrapings
CRP PCR
Coag CXR+ Mantoux if
Blood gas TB suspected
Glucose
Diagnosis
CSF FINDINGS
Bacterial Viral TB
Over 2 months:
Cefotaxime
Treat for 7-10 days
Prophylaxis
Rifampicin:
Children 5mg/kg bd x 2/7
Adults: 600 mg bd x 2/7
Pregnant contact:
Cefuroxime IM x 1 dose
OR
Just do T/S and await result
Meningitis - Complications
Septic shock - DIC
Cerebral oedema
Seizures
Arteritis/venous thrombosis
Subdural effusions
Hydrocephalus . Abscess . Brain damage
Deafness
Meningococcaemia - poor
prognosis