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NERVOUS SYSTEM INFECTIONS MENINGITIS Acute infection of the meninges presents with the characteristic combination: pyrexia Headache Meningism
CAUSES OF MENINGITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fever,Headache,Nuchal rigidity ,[object Object],[object Object],[object Object],[object Object],Brain imaging CSF
Bacterial causes of meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neonate G-negative bacilli Group B streptococci
Pre-school child Haemophillus ifluenza Neisseria meningitidis Streptococcus pneumonia
Older child & adult Neisseria meningitidis Streptococcus pneumoniae Listeria monocytogenes
CSF INDICES IN MENINGITIS often Increase Low 50-5000 L/P,M TB + N/ Increase Low 1000 5000 Poly Bacterial - normal normal 10-2000 Lymp Viral - Normal >60%  B-G 0-4 Lymp Normal G-  stain protein Glucose  CELL Count CELl Type Condition
CHEMOTHERAPY OF BACTERIAL    MENINGGITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of pyogenicmeningitis of    unknown cause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations for Empirical  antimicrobial therapy in adult with  community-acquired   meningitis   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chemoprophylaxis for meningococcal    infection ,[object Object],[object Object],[object Object],[object Object]
COMPLICATIONS  OF MININGOCOCCAL SEPTICEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Major intracranial complications in  Bacterial meningitis in adult ----------------------------------------- 1-Transtentorial herniation 2-Hydrocephalus 3-Infarction 4-Seizures
  CLINICAL FEATURES OF TB MENINGITIS   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
  Signs   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Viruses causing acute encephalitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Viruses causing acute meningitis  ,[object Object],[object Object],[object Object]
Practical points ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chronic & recurrent meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms & signs of chronic    meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Medicine 5th year, 5th lecture/part one (Dr. Mohammed Tahir)

  • 1. NERVOUS SYSTEM INFECTIONS MENINGITIS Acute infection of the meninges presents with the characteristic combination: pyrexia Headache Meningism
  • 2.
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  • 4.
  • 5. Neonate G-negative bacilli Group B streptococci
  • 6. Pre-school child Haemophillus ifluenza Neisseria meningitidis Streptococcus pneumonia
  • 7. Older child & adult Neisseria meningitidis Streptococcus pneumoniae Listeria monocytogenes
  • 8. CSF INDICES IN MENINGITIS often Increase Low 50-5000 L/P,M TB + N/ Increase Low 1000 5000 Poly Bacterial - normal normal 10-2000 Lymp Viral - Normal >60% B-G 0-4 Lymp Normal G- stain protein Glucose CELL Count CELl Type Condition
  • 9.
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  • 14. Major intracranial complications in Bacterial meningitis in adult ----------------------------------------- 1-Transtentorial herniation 2-Hydrocephalus 3-Infarction 4-Seizures
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