JAQUELINE MAWARNI EFFENDY

(2012-83-044)
DEFINISI
 Etiologi

A. BAKTERI :
Pnumococcus, Meningococcus, Hemophilus
influenza, Staphylococcus, E.coli, Salmonella.
Berdasarkan golongan umur dibagi atas :
Neonatus : Eserichia coli, Streptococcus beta
hemolitikus, Listeria monositogenes
Anak di bawah 4 tahun : Hemofilus influenza,
meningococcus, Pneumococcus.
Anak di atas 4 tahun dan orang dewasa :
Meningococcus, Pneumococcus.
B. VIRUS
Arboviral (mosquito-borne) diseases
Influenza
LaCrosse Encephalitis virus
West Nile Virus
Also enteroviral
PATOMEKANISME
SIGN AND SYMPTOMS
 HOW TO DIAGNOSE
Assess for increased
ICP
Papilledema
Focal neurologic findings
Defer LP until CT scan
or MRI obtained if any
of above present
If suspect meningitis
and awaiting
neuroimaging
Obtain BCs and start
empiric Abx
 LUMBAR PUNCTURE
Tube 1 Protein &
Glucose
Tube 2 Gram
stain & Culture
Tube 3 Cell count
& differential
Tube 4 Store
( PCR, viral
studies etc)
Cell count : 1000-5000 cells/mm3
with a neutrophil predominance of
about 80-95%
Glucose : <40mg/dl and less than 2/3
of the serum glucose
Protein elevated
TUMBLER TEST
THERAPY
THANK YOU
 REFERENSI
1. Japardi, Iskandar. 2002. Meningitis
Meningococcus. USU digital library URL http://
library.usu.ac.id/download/fk/bedah-iskandar%2
0japardi23.pdf
.
2. http://
www.nice.org.uk/guidance/cg102/resources/gui
dance-bacterial-meningitis-and-meningococcal
-septicaemia-pdf

3. http://
portal.solent.ac.uk/support/health-wellbeing/he
alth-advice/meningitis.aspx