Professional Documents
Culture Documents
Shashi Vaish
Paediatric SpR
AMNCH
Tallaght
CAUSES
Bacterial
Viral
Fungal
N. meningitides
G-ve diplococci
E.Coli
G-ve bacilli
Streptococci-GBS
G+ve cocci
Strep. pneumoniae
G+ve 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