logging in or signing up Meningitis, CNS infections, bacteria, virus, fungus neurology1 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 735 Category: Science & Tech.. License: All Rights Reserved Like it (1) Dislike it (0) Added: October 29, 2010 This Presentation is Public Favorites: 0 Presentation Description A clinical approach to meningitis for medical professionals, physicians, medical students, residents Comments Posting comment... Premium member Presentation Transcript Meningitis : Meningitis Dr Rahul Chakor MD DM Slide 2: Inflammation of the Leptomeninges Various Etiologies Microbial Autoimmune Granulomatous Drugs Other Slide 3: Bacterial Group B Streptococcus L monocytogenes S pneumoniae N meningitides H influenzae Gram-negative bacilli Staphylococci Mycobacterial Slide 4: Viral Echovirus, Coxsackie, HSV 2, Mumps, LCMV, Adenovirus, HIV Arboviruses Fungal Cryptococcal Autoimmune disorders SLE, Vasculitis Sarcoidosis Slide 5: Drugs NSAIDS,Immunoglobulins Others Mollaret recurrent Meningitis, Parasitic Vogt Koyanagi Harada syndrome Parameningeal Focus Neoplastic Invasion Pyogenic Meningitis : Pyogenic Meningitis Hematogenous spread Local spread Inflammatory reaction Complications Resolution Symptoms : Symptoms Fever Severe Headache Vomiting Convulsions Disturbed Consciousness Focal Cerebral deficits Specific Features : Specific Features Meningococcal Meningitis Epidemic.Rapid evolution to delirium, stupor within hours. Petechial, purpuric rash on feet, circulatory shock. Pneumococcal Meningitis Preceeded by pneumonia,endocarditis.In adults,sporadic, recurrent, alcoholic, splenectomized pts. H influenzae Children following upper respiratory and ear infection. Physicial Signs : Physicial Signs Cerebral dysfunction- delirium to coma Focal deficits-occasionally Cranial nerve deficits-3rd 6th 7th Neck Stiffness, Kernig’s sign, Brudzinski’s sign Classical signs absent in Neonates, Elderly and Immunocompromised Likely Pathogen : Likely Pathogen Investigations : Investigations Blood Tests Neuroimaging CSF study Blood Culture Approach : Approach Suspicion of Meningitis Papilloedema or focal Neurological signs CBC, Blood Culture Head CT No Mass Lesion CSF Analysis Approach : Approach Causative Organism Detected Treatment as per Microorganism Prophylaxis of Contacts Look for Complications Adjunctive Therapy Antibiotic Choice : Antibiotic Choice Antibiotic Choice : Antibiotic Choice Adjunctive Therapy : Adjunctive Therapy Dexamethasone 3months and above (Tunkel and Scheld) simultaneously or before antibiotics Children with H influenzae Pneumococcal meningitis in adults CSF study in 24-48 hrs. Adjunctive Therapy : Adjunctive Therapy ICP monitoring Vigorous Treatment of ICP Treatment of Seizures Treatment of Shock and DIC Complications : Complications Septic Venous Thrombophlebitis Arteritis with Infarcts Subdural Empyma Hydrocephalus Cerebritis and Brain abscess Slide 21: Thank You You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Meningitis, CNS infections, bacteria, virus, fungus neurology1 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 735 Category: Science & Tech.. License: All Rights Reserved Like it (1) Dislike it (0) Added: October 29, 2010 This Presentation is Public Favorites: 0 Presentation Description A clinical approach to meningitis for medical professionals, physicians, medical students, residents Comments Posting comment... Premium member Presentation Transcript Meningitis : Meningitis Dr Rahul Chakor MD DM Slide 2: Inflammation of the Leptomeninges Various Etiologies Microbial Autoimmune Granulomatous Drugs Other Slide 3: Bacterial Group B Streptococcus L monocytogenes S pneumoniae N meningitides H influenzae Gram-negative bacilli Staphylococci Mycobacterial Slide 4: Viral Echovirus, Coxsackie, HSV 2, Mumps, LCMV, Adenovirus, HIV Arboviruses Fungal Cryptococcal Autoimmune disorders SLE, Vasculitis Sarcoidosis Slide 5: Drugs NSAIDS,Immunoglobulins Others Mollaret recurrent Meningitis, Parasitic Vogt Koyanagi Harada syndrome Parameningeal Focus Neoplastic Invasion Pyogenic Meningitis : Pyogenic Meningitis Hematogenous spread Local spread Inflammatory reaction Complications Resolution Symptoms : Symptoms Fever Severe Headache Vomiting Convulsions Disturbed Consciousness Focal Cerebral deficits Specific Features : Specific Features Meningococcal Meningitis Epidemic.Rapid evolution to delirium, stupor within hours. Petechial, purpuric rash on feet, circulatory shock. Pneumococcal Meningitis Preceeded by pneumonia,endocarditis.In adults,sporadic, recurrent, alcoholic, splenectomized pts. H influenzae Children following upper respiratory and ear infection. Physicial Signs : Physicial Signs Cerebral dysfunction- delirium to coma Focal deficits-occasionally Cranial nerve deficits-3rd 6th 7th Neck Stiffness, Kernig’s sign, Brudzinski’s sign Classical signs absent in Neonates, Elderly and Immunocompromised Likely Pathogen : Likely Pathogen Investigations : Investigations Blood Tests Neuroimaging CSF study Blood Culture Approach : Approach Suspicion of Meningitis Papilloedema or focal Neurological signs CBC, Blood Culture Head CT No Mass Lesion CSF Analysis Approach : Approach Causative Organism Detected Treatment as per Microorganism Prophylaxis of Contacts Look for Complications Adjunctive Therapy Antibiotic Choice : Antibiotic Choice Antibiotic Choice : Antibiotic Choice Adjunctive Therapy : Adjunctive Therapy Dexamethasone 3months and above (Tunkel and Scheld) simultaneously or before antibiotics Children with H influenzae Pneumococcal meningitis in adults CSF study in 24-48 hrs. Adjunctive Therapy : Adjunctive Therapy ICP monitoring Vigorous Treatment of ICP Treatment of Seizures Treatment of Shock and DIC Complications : Complications Septic Venous Thrombophlebitis Arteritis with Infarcts Subdural Empyma Hydrocephalus Cerebritis and Brain abscess Slide 21: Thank You