Meningitis resident survival guide: Difference between revisions
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Revision as of 14:51, 6 October 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Niloofarsadaat Eshaghhosseiny, MD[2]
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Bacterial:
- Streptococcus pneumoniae
- Neisseria meningitis
- Hemophilus influenza
- Group B streptococcus
- Listeria monocytogenes
Viral:
Fungal:
- Cryptococcus neoformans
- Aspergillus sp.
- Blastomyces dermatitidis
- Coccidioides immitis
- Candida spp.
- Histoplasma capsulatum
- Sporothrix schencki
Diagnosis
| suspicion for bacterial meningitis | |||||||||||||||||||||||||||||||||||||||||||||
| yes | |||||||||||||||||||||||||||||||||||||||||||||
| Immuncompromised,new onset seizure,History of CNS dis,altered consciousness,papilledema,focal neuorologic deficit,delay in performance of diagnostic of LP | |||||||||||||||||||||||||||||||||||||||||||||
| Yes | No | ||||||||||||||||||||||||||||||||||||||||||||
| Blood culture stat' | Blood culture and LP stat' | ||||||||||||||||||||||||||||||||||||||||||||
Treatment
| suspicion for bacterial meningitis | |||||||||||||||||||||||||||||||||
| yes | |||||||||||||||||||||||||||||||||
| Immuncompromised,new onset seizure,History of CNS dis,altered consciousness,papilledema,focal neuorologic deficit,delay in performance of diagnostic of LP | |||||||||||||||||||||||||||||||||
| Yes | No | ||||||||||||||||||||||||||||||||
| Blood culture stat | Blood culture and LP stat | ||||||||||||||||||||||||||||||||
| Dexamethasone and empirical antibiotic therapy | Dexamethasone and empirical antibiotic therapy | ||||||||||||||||||||||||||||||||
| Negative CTscan of head | Csf findings c/w bacterial meningitis | ||||||||||||||||||||||||||||||||
| Perform LP | Yes | ||||||||||||||||||||||||||||||||
Do's
- The content in this section is in bullet points.