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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]

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Chronic meningitis

  • 1. CHRONIC MENINGITIS Dr. Dino Sgarabotto Malattie Infettive e Tropicali Azienda Ospedaliera di Padova
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  • 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
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