Meningitis Def: Meningitis is swelling and irritation (inflammation) of the membranes covering the brain and spinal cord. This inflammation causes changes in the cerebrospinal fluid (CSF) that surrounds the brain and spinal cord.
Meningitis Types of meningitis: Pyogenic meningitis Tuberculous meningitis Viral meningitis
Meningitis Aetiology: A)bacterial meningitis- E.colli Group B streaptococci Neisseriameningitidis Streaptococcuspneumoniae Haemophilusinfluenzae
Meningitis Clinical features of viral meningitis: Occurs mainly in children or young adults Headache Irritability Rapid development of mental irritation There may be high pyrexia
Meningitis Investigation- A)Bacterial meningitis CSF study Blood for C/S B)Tuberculous meningitis CSF study Culture of CSF CT scan C)Viral meningitis CSF study
Meningitis Management of bacterial meningitis: 1.Appropriate antibiotics- Benzylpenicillin 2.4 g i/v 6 hrly Cefotaxime 2 g i/v 6 hrly Ceftriaxone 2 g i/v 12 hrly with Vancomycin 1 g i/v 12 hrly 2.Fluid and electrolytes balance 3.Diazepam for convulsion 4.Good nursing care 5.Prevention and treatment of complication
Meningitis Management of tuberculous meningitis: 1.Antituberculous chemotherapy 2.Pprednisolone 10 mg 6 hrly 3.Maintin adequate hydration and nutrition Skilled nursing care
Meningitis Management of viral meningitis: 1.There is no specific treatment and usually benign and self-limiting 2.Symptomatic treatment in a quiet enviroment 3.Recovery usually occurs with in days