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CSF CIRCULATION

CSF CIRCULATION. Joerelle V. Mojica Junior Intern, UERM. PEDIATRIC MENINGITIS. Joerelle V. Mojica Junior Intern, UERM. BACTERIAL MENINGITIS. Neonatal: grp B Streptococci. E.coli , Proteus, Klebsiella 3mos-18yo: Strep pneumoniae , Neisseria meningitidis , H. influenza

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CSF CIRCULATION

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  1. CSF CIRCULATION Joerelle V. Mojica Junior Intern, UERM

  2. PEDIATRIC MENINGITIS Joerelle V. Mojica Junior Intern, UERM

  3. BACTERIAL MENINGITIS • Neonatal: grp B Streptococci. E.coli, Proteus, Klebsiella • 3mos-18yo: Strep pneumoniae, Neisseriameningitidis, H. influenza • CSF Analysis , C/S • Fluid restriction, elevate head, hyperventilation, mannitol • E. coli: cefotaxime • Group B strep: ampicillin + gentamycin • Staph pneumonia: Penicillin G

  4. TB Meningitis • Primary complex spreads hematogenously • Stage 1: nonspecific, ~1 week • Stage 2: changes in sensorium & cognition • Stage 3: coma • Gold standard: CSF C/S • CT scan: basal meningeal enhancement, hydrocephalus, arteritis, infarct • Chest AP Xray, PPD, Contact tracing • Mannitol, Quadruple therapy, steroids • VP Shunting

  5. FUNGAL MENINGITIS • Most common: CryptoccocusNeoformans • SSx similar to TB Meningitis • (+) on India ink and Saboraud’s medium • Amphoterecin B

  6. VIRAL MENINGITIS • Viremia, along nerve • Japanese B encephalitis, dengue encephalitis, herpes encephalitis • Supportive • Acyclovir

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