SlideShare a Scribd company logo
1 of 20
CHRONIC MENINGITIS Dr. Dino Sgarabotto Malattie Infettive e Tropicali Azienda Ospedaliera di Padova
DEFINITION ,[object Object],[object Object],[object Object]
ETIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BACTERIAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPIROCHETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MYCOBACTERIUM TUBERCULOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
VIRAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OTHER INFECTIOUS ETIOLOGIES ,[object Object],[object Object],[object Object],[object Object]
NONINFECTIOUS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SYMPTOMS ,[object Object]
HISTORICAL CLUES ,[object Object],[object Object],[object Object],[object Object]
HISTORICAL CLUES ,[object Object],[object Object],[object Object],[object Object],[object Object]
CSF ANALYSIS Test Bacterial Viral Fungal Parasitic Opening Pressure Elevated Usually normal Variable Variable White blood cell count >1000 <100 Variable Variable Cell differential PMN Lymphs Lymphs Eosinophilia Protein Mild to Marked Elevation Normal to Elevated Elevated Elevated Glucose  Normal to Low Normal Low Low
CSF ANALYSIS PMN predominate/ Low Glucose  Lymph predominate/ Normal Glucose Lymph predominate/ Low Glucose Bacteria -Actinomyces, Listeria, Brucellosis Mumps LCM NSAIDS Sulfa Behcet’s  Early Viral Viral CNS Malignancy Endocarditis Early Mycobacterium Early Fungal Mycobacterium Fungi
SPECIFIC CSF ANALYSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SERUM TESTS ,[object Object],[object Object],[object Object],[object Object],[object Object]
FURTHER EXAMINATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EMPIRIC THERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EMPIRIC STEROIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
REFERENCES ,[object Object],[object Object],[object Object]

More Related Content

What's hot

Extrapulmonary tuberculosis
Extrapulmonary tuberculosisExtrapulmonary tuberculosis
Extrapulmonary tuberculosis
Puneet Shukla
 
Module 3 opportunistic infections and hiv related conditi
Module 3  opportunistic infections and hiv  related  conditiModule 3  opportunistic infections and hiv  related  conditi
Module 3 opportunistic infections and hiv related conditi
David Ngogoyo
 

What's hot (20)

Atypical pneumonia
Atypical pneumoniaAtypical pneumonia
Atypical pneumonia
 
Encephlitis
EncephlitisEncephlitis
Encephlitis
 
Pyrexia of unknown origin
Pyrexia of unknown originPyrexia of unknown origin
Pyrexia of unknown origin
 
Demyelinating diseases & Multiple Sclerosis
Demyelinating diseases  & Multiple SclerosisDemyelinating diseases  & Multiple Sclerosis
Demyelinating diseases & Multiple Sclerosis
 
Bacterial meningitis
Bacterial meningitisBacterial meningitis
Bacterial meningitis
 
Encephalitis
EncephalitisEncephalitis
Encephalitis
 
Extrapulmonary tuberculosis
Extrapulmonary tuberculosisExtrapulmonary tuberculosis
Extrapulmonary tuberculosis
 
Viral encephalitis
Viral encephalitisViral encephalitis
Viral encephalitis
 
Bacterial meningitis
Bacterial meningitis Bacterial meningitis
Bacterial meningitis
 
Miliary Tuberculosis (dr. mahesh)
Miliary Tuberculosis (dr. mahesh)Miliary Tuberculosis (dr. mahesh)
Miliary Tuberculosis (dr. mahesh)
 
Cns infections
Cns infectionsCns infections
Cns infections
 
CNS infections
CNS infectionsCNS infections
CNS infections
 
CNS infections in HIV
CNS infections in HIVCNS infections in HIV
CNS infections in HIV
 
Extra pulmonary TB
Extra pulmonary TBExtra pulmonary TB
Extra pulmonary TB
 
atypical pneumonia.pptx
atypical pneumonia.pptxatypical pneumonia.pptx
atypical pneumonia.pptx
 
Module 3 opportunistic infections and hiv related conditi
Module 3  opportunistic infections and hiv  related  conditiModule 3  opportunistic infections and hiv  related  conditi
Module 3 opportunistic infections and hiv related conditi
 
Cerebral Malaria
Cerebral Malaria Cerebral Malaria
Cerebral Malaria
 
Neurological manifestations of HIV
Neurological manifestations of HIVNeurological manifestations of HIV
Neurological manifestations of HIV
 
Approach to a patient with stroke
Approach to a patient with stroke Approach to a patient with stroke
Approach to a patient with stroke
 
HIV and TB coinfection
HIV and TB coinfectionHIV and TB coinfection
HIV and TB coinfection
 

Viewers also liked (11)

Meningitis ppt
Meningitis pptMeningitis ppt
Meningitis ppt
 
Meningitis presentation
Meningitis presentationMeningitis presentation
Meningitis presentation
 
Meningitis
MeningitisMeningitis
Meningitis
 
Meningitis
MeningitisMeningitis
Meningitis
 
Febrile encephalopathy
Febrile encephalopathyFebrile encephalopathy
Febrile encephalopathy
 
Approach to a case of Fever with altered sensorium
Approach to a case of Fever with altered sensoriumApproach to a case of Fever with altered sensorium
Approach to a case of Fever with altered sensorium
 
Lecture 11. meningitis
Lecture 11. meningitisLecture 11. meningitis
Lecture 11. meningitis
 
Diagnostic approach to acute encephalopathy
Diagnostic approach to acute encephalopathyDiagnostic approach to acute encephalopathy
Diagnostic approach to acute encephalopathy
 
Meningitis
MeningitisMeningitis
Meningitis
 
Diagnostic approach to acute encephalopathy
Diagnostic approach to acute encephalopathyDiagnostic approach to acute encephalopathy
Diagnostic approach to acute encephalopathy
 
Meningitis
MeningitisMeningitis
Meningitis
 

Similar to Chronic meningitis

Pneumonia in immnocomprimised host
Pneumonia in immnocomprimised hostPneumonia in immnocomprimised host
Pneumonia in immnocomprimised host
Jorgy Mathew
 
GR 6 MUMPS AND NCROUPS.pptx2222222222222
GR 6 MUMPS AND NCROUPS.pptx2222222222222GR 6 MUMPS AND NCROUPS.pptx2222222222222
GR 6 MUMPS AND NCROUPS.pptx2222222222222
KelfalaHassanDawoh
 
feverofunkownorigin-190121090327.pdf ram
feverofunkownorigin-190121090327.pdf ramfeverofunkownorigin-190121090327.pdf ram
feverofunkownorigin-190121090327.pdf ram
RAMJIBANYADAV2
 
Pyrexia of unknown origin (puo)
Pyrexia of unknown origin (puo)Pyrexia of unknown origin (puo)
Pyrexia of unknown origin (puo)
Mohd Hanafi
 
Pyrexia of unknown origin
Pyrexia of unknown originPyrexia of unknown origin
Pyrexia of unknown origin
Dr. Rubz
 

Similar to Chronic meningitis (20)

Pneumonia in immnocomprimised host
Pneumonia in immnocomprimised hostPneumonia in immnocomprimised host
Pneumonia in immnocomprimised host
 
MENINGITIS & ENCEPHALITIS - Ayushi.pptx pdf
MENINGITIS & ENCEPHALITIS - Ayushi.pptx pdfMENINGITIS & ENCEPHALITIS - Ayushi.pptx pdf
MENINGITIS & ENCEPHALITIS - Ayushi.pptx pdf
 
13 meningitis.pptx
13 meningitis.pptx13 meningitis.pptx
13 meningitis.pptx
 
Diagnosis and examination of swollen lymph nodes ppt.pptx
Diagnosis and examination of swollen lymph nodes ppt.pptxDiagnosis and examination of swollen lymph nodes ppt.pptx
Diagnosis and examination of swollen lymph nodes ppt.pptx
 
Fever of unkown origin
Fever of unkown originFever of unkown origin
Fever of unkown origin
 
pyrexia of unknown origin(puo).
pyrexia of unknown origin(puo).pyrexia of unknown origin(puo).
pyrexia of unknown origin(puo).
 
9menengitis.ppt
9menengitis.ppt9menengitis.ppt
9menengitis.ppt
 
GR 6 MUMPS AND NCROUPS.pptx2222222222222
GR 6 MUMPS AND NCROUPS.pptx2222222222222GR 6 MUMPS AND NCROUPS.pptx2222222222222
GR 6 MUMPS AND NCROUPS.pptx2222222222222
 
Infections of the CNS: Meningitis
Infections of the CNS: MeningitisInfections of the CNS: Meningitis
Infections of the CNS: Meningitis
 
MUMPS
MUMPS MUMPS
MUMPS
 
Systemic Lupus Erythematoses
Systemic Lupus ErythematosesSystemic Lupus Erythematoses
Systemic Lupus Erythematoses
 
feverofunkownorigin-190121090327.pdf ram
feverofunkownorigin-190121090327.pdf ramfeverofunkownorigin-190121090327.pdf ram
feverofunkownorigin-190121090327.pdf ram
 
Neuroretinitis.pptx
Neuroretinitis.pptxNeuroretinitis.pptx
Neuroretinitis.pptx
 
Otolaryngologic manifestations of HIV AIDS
Otolaryngologic manifestations of HIV AIDSOtolaryngologic manifestations of HIV AIDS
Otolaryngologic manifestations of HIV AIDS
 
32577_Lymphadenopathy.ppt
32577_Lymphadenopathy.ppt32577_Lymphadenopathy.ppt
32577_Lymphadenopathy.ppt
 
Lymphadenopathy.ppt
Lymphadenopathy.pptLymphadenopathy.ppt
Lymphadenopathy.ppt
 
Approach to acute febrile illness in Tropical regions
Approach to acute febrile illness in Tropical regions Approach to acute febrile illness in Tropical regions
Approach to acute febrile illness in Tropical regions
 
Syphilis
Syphilis Syphilis
Syphilis
 
Pyrexia of unknown origin (puo)
Pyrexia of unknown origin (puo)Pyrexia of unknown origin (puo)
Pyrexia of unknown origin (puo)
 
Pyrexia of unknown origin
Pyrexia of unknown originPyrexia of unknown origin
Pyrexia of unknown origin
 

More from Dino Sgarabotto

More from Dino Sgarabotto (20)

Nuovi antimicrobici: nuovi antibiotici, antifungini e antivirali.pptx
Nuovi antimicrobici: nuovi antibiotici, antifungini e antivirali.pptxNuovi antimicrobici: nuovi antibiotici, antifungini e antivirali.pptx
Nuovi antimicrobici: nuovi antibiotici, antifungini e antivirali.pptx
 
Infezioni della cute e del sottocute.pptx
Infezioni della cute e del sottocute.pptxInfezioni della cute e del sottocute.pptx
Infezioni della cute e del sottocute.pptx
 
Helicobacter pylori 2019
Helicobacter pylori 2019Helicobacter pylori 2019
Helicobacter pylori 2019
 
Quiz per infezioni opportunistiche nel trapiantato di rene del dr. sgarabotto
Quiz per infezioni opportunistiche nel trapiantato di rene del dr. sgarabottoQuiz per infezioni opportunistiche nel trapiantato di rene del dr. sgarabotto
Quiz per infezioni opportunistiche nel trapiantato di rene del dr. sgarabotto
 
Le infezioni opportunistiche nel trapiantato di rene
Le infezioni opportunistiche nel trapiantato di reneLe infezioni opportunistiche nel trapiantato di rene
Le infezioni opportunistiche nel trapiantato di rene
 
Profilassi antimicrobica delle ivu complicate da disfunzioni vescicali
Profilassi antimicrobica delle ivu complicate da disfunzioni vescicaliProfilassi antimicrobica delle ivu complicate da disfunzioni vescicali
Profilassi antimicrobica delle ivu complicate da disfunzioni vescicali
 
Italia paese multietnico
Italia paese multietnicoItalia paese multietnico
Italia paese multietnico
 
Parassitologia «italiana»
Parassitologia «italiana»Parassitologia «italiana»
Parassitologia «italiana»
 
Terapia antibiotica per mmg, medicina e rianinamazione
Terapia antibiotica per mmg, medicina e rianinamazioneTerapia antibiotica per mmg, medicina e rianinamazione
Terapia antibiotica per mmg, medicina e rianinamazione
 
Infezioni nel paziente oltx
Infezioni nel paziente oltxInfezioni nel paziente oltx
Infezioni nel paziente oltx
 
Le complicanze infettive nel paziente critico in ucic
Le complicanze infettive nel paziente critico in ucicLe complicanze infettive nel paziente critico in ucic
Le complicanze infettive nel paziente critico in ucic
 
Infezioni e loro prevenzione nel paziente reumatologico
Infezioni e loro prevenzione nel paziente reumatologicoInfezioni e loro prevenzione nel paziente reumatologico
Infezioni e loro prevenzione nel paziente reumatologico
 
Screening infettivologico nel paziente reumatologico
Screening infettivologico nel paziente reumatologicoScreening infettivologico nel paziente reumatologico
Screening infettivologico nel paziente reumatologico
 
Caso clinico infettivologico dr sgarabotto
Caso clinico infettivologico dr sgarabottoCaso clinico infettivologico dr sgarabotto
Caso clinico infettivologico dr sgarabotto
 
Cmv and valganciclovir
Cmv and valganciclovirCmv and valganciclovir
Cmv and valganciclovir
 
Mdro nell'insufficienza epatica grave
Mdro nell'insufficienza epatica grave Mdro nell'insufficienza epatica grave
Mdro nell'insufficienza epatica grave
 
Cause di febbre nel trapiantato
Cause di febbre nel trapiantatoCause di febbre nel trapiantato
Cause di febbre nel trapiantato
 
Terapia antimicrobica nella sepsi addominale
Terapia antimicrobica nella sepsi addominaleTerapia antimicrobica nella sepsi addominale
Terapia antimicrobica nella sepsi addominale
 
Viral infections in transplantation
Viral infections in transplantationViral infections in transplantation
Viral infections in transplantation
 
Prevenzione delle infezioni nelle malattie reumatiche
Prevenzione delle infezioni nelle malattie reumatichePrevenzione delle infezioni nelle malattie reumatiche
Prevenzione delle infezioni nelle malattie reumatiche
 

Recently uploaded

👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
Sheetaleventcompany
 
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdf
MedicoseAcademics
 
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
Sheetaleventcompany
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronic
MedicoseAcademics
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
Sheetaleventcompany
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
Sheetaleventcompany
 
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
dishamehta3332
 
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Sheetaleventcompany
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
rajnisinghkjn
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Sheetaleventcompany
 

Recently uploaded (20)

Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdf
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronic
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
 
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
 
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 

Chronic meningitis

  • 1. CHRONIC MENINGITIS Dr. Dino Sgarabotto Malattie Infettive e Tropicali Azienda Ospedaliera di Padova
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. CSF ANALYSIS Test Bacterial Viral Fungal Parasitic Opening Pressure Elevated Usually normal Variable Variable White blood cell count >1000 <100 Variable Variable Cell differential PMN Lymphs Lymphs Eosinophilia Protein Mild to Marked Elevation Normal to Elevated Elevated Elevated Glucose Normal to Low Normal Low Low
  • 14. CSF ANALYSIS PMN predominate/ Low Glucose Lymph predominate/ Normal Glucose Lymph predominate/ Low Glucose Bacteria -Actinomyces, Listeria, Brucellosis Mumps LCM NSAIDS Sulfa Behcet’s Early Viral Viral CNS Malignancy Endocarditis Early Mycobacterium Early Fungal Mycobacterium Fungi
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.