Meningitis: Difference between revisions

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Prashanth Saddala M.B.B.S

Synonyms and keywords: Leptomeningitis

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Meningitis from other Diseases

Epidemiology and Demographics

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Natural History, Complications and Prognosis

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Case #1

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Template:Diseases of the nervous system

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 ==[[Meningitis differential diagnosis|Differentiating Meningitis from other Diseases]]==
-*[[Brain abcess]] - [[Brain abcess]] is a focal [[infection]] of the [[brain parenchyma]] commonly caused by [[bacteria]], [[fungal]] and [[parasitic]] pathogens. Imaging and neurosurgical aspiration is required for is differentiation in addition to [[CSF profile]].
-*[[Encepahlitis]] -  [[Encephatlitis]] is the inflammation of brain. Meningitis can itself cause [[encephalitis]] and is called [[meningoencephalitis]]. The symptoms appear gradually in encephalitis but occur abruptly in meningitis.
-*[[Delirium tremens]] - [[Delirium tremens]] and [[alcohol withdrawal]] should be differentiated from [[meningitis]] especially when present with confusion and fever. Both the conditions can coexist.
-*[[Brain tumour]] - Brain tumours can simulate purulent meningitis with  symptoms fever, signs of meningeal irritation and marked [[CSF]] pleocytosis. Irritation of leptomeninges by tumour and its breakdown products causes these symptoms<ref name="pmid1278192">{{cite journal |author=Soffer D |title=Brain tumors simulating purulent meningitis |journal=Eur. Neurol. |volume=14 |issue=3 |pages=192–7 |year=1976 |pmid=1278192 |doi= |url=}}</ref>. Determination of [[creatine kinase BB]] and [[carcinoembryonic antigen]] helps in differentiating.<ref name="pmid3883130">{{cite journal |author=Terheggen HG |title=[CNS tumors with the clinical picture of meningitis] |language=German |journal=Monatsschr Kinderheilkd |volume=133 |issue=1 |pages=13–9 |year=1985 |month=January |pmid=3883130 |doi= |url=}}</ref>
-*[[Subarachnoid hemorrhage]] - [[Subarachnoid hemorrhage]] also presents with severe headache, [[neck stiffness]], [[nausea]] and [[vomiting]] like [[meningitis]]. It is a medical emergency. Imaging studies help in differentiating. [[Tubercular meningitis]] should ]be considered in the differential diagnosis in cases of [[nonaneurysmal]] [[subarachnoid hemorrhage]].<ref name="pmid14585453">{{cite journal |author=Yeh ST, Lee WJ, Lin HJ, Chen CY, Te AL, Lin HJ |title=Nonaneurysmal subarachnoid hemorrhage secondary to tuberculous meningitis: report of two cases |journal=J Emerg Med |volume=25 |issue=3 |pages=265–70 |year=2003 |month=October |pmid=14585453 |doi= |url=}}</ref>
 ==[[Meningitis epidemiology and demographics|Epidemiology and Demographics]]==

Meningitis: Difference between revisions

Revision as of 17:10, 20 September 2012

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