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Abubakr Ibrahim, Adv. Diploma
Department of Community Medicine and Heath
College of Health and Well-being, Kintampo
 Definition
 Aetiology
 Pathophysiology
 Clinical presentation and Physical Exams
 Investigations
 Diagnosis
 Complications
 Management
 Meningitis is an inflammatory disease of the
leptomeninges and is defined by abnormal
number of cells in the CSF
Epidemiology
 Over one million cases annually worldwide
 Causes more than 130,000 deaths worldwide
 In Ghana more prevalent in the north
 In neonates : group B streptococcus
 In children : Strep. pneumoniae, H. influenza,
N. meningitidis
 In adults : strep. pneumoniae and N.
meningitidis
 TB and Listeria monocytogenes can also
cause meningitis
 Viral meningitis : HIV, Enterovirus,
 Fungal meningitis : candida, Cryptococcus
 Hematogenous spread : Strep pneumoniae
from pneumonia
 Entry via the URT: N. meningitidis
 Ear infection : H influenza
 Post surgery or trauma: Staph, gram -ve
This enable microorganisms to colonize ,
invade and cross the blood brain barrier , and
multiply within the CSF.
 Fever
 Neck stiffness Triad-bacteria meningitis
 Altered mental status
 Headache
 Seizures
 Focal neurologic deficits/cranial nerve deficit
 Cerebral vasculopathy leading to stroke
 Skin petechiae
 Photophobia
 Brudzinski’s sign
 kerning’s sign
 Nuchal rigidity/meningismus
Investigations
 CSF analysis
 Elevated protein
 Decreased glucose
 Elevated WBC
predominance PMNs – bacteria meningitis
predominance mononuclear cells – Fungal
meningitis, viral meningitis, encephalitis
 Blood – trauma from tab, intracranial bleeding
 Bacterial meningitis
 Fungal meningitis
 TB meningitis
 Carcinomatous/lymphomatous meningitis
 Neurosarcoidosis
 Profound systemic hypoglycemia
 History of fever, altered mental status, stiff
neck(Triad) + headache, seizures, photophobia
 PE positive for Brudzinski’s sign, Kerning’s sign
,nuchal rigidity
 Lumber puncture consistent with a particular
meningitis
 Cranial nerve injury – CN VIII hearing loss
 Seizure disorder
 Long term cognitive delay
 Venous sinus thrombosis
 stroke
Hydrocephalus
 Ceftriaxone 2g IV 12hr +
 Vancomycin 15-20mg/kg 8hr +
 Ampicillin 2g IV 4hr – for patients >50
Plus
 High dose steroids
Meningitis

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Meningitis

  • 1. Abubakr Ibrahim, Adv. Diploma Department of Community Medicine and Heath College of Health and Well-being, Kintampo
  • 2.  Definition  Aetiology  Pathophysiology  Clinical presentation and Physical Exams  Investigations  Diagnosis  Complications  Management
  • 3.  Meningitis is an inflammatory disease of the leptomeninges and is defined by abnormal number of cells in the CSF Epidemiology  Over one million cases annually worldwide  Causes more than 130,000 deaths worldwide  In Ghana more prevalent in the north  In neonates : group B streptococcus
  • 4.  In children : Strep. pneumoniae, H. influenza, N. meningitidis  In adults : strep. pneumoniae and N. meningitidis  TB and Listeria monocytogenes can also cause meningitis  Viral meningitis : HIV, Enterovirus,  Fungal meningitis : candida, Cryptococcus
  • 5.  Hematogenous spread : Strep pneumoniae from pneumonia  Entry via the URT: N. meningitidis  Ear infection : H influenza  Post surgery or trauma: Staph, gram -ve This enable microorganisms to colonize , invade and cross the blood brain barrier , and multiply within the CSF.
  • 6.  Fever  Neck stiffness Triad-bacteria meningitis  Altered mental status  Headache  Seizures  Focal neurologic deficits/cranial nerve deficit  Cerebral vasculopathy leading to stroke  Skin petechiae  Photophobia
  • 7.  Brudzinski’s sign  kerning’s sign  Nuchal rigidity/meningismus Investigations  CSF analysis
  • 8.  Elevated protein  Decreased glucose  Elevated WBC predominance PMNs – bacteria meningitis predominance mononuclear cells – Fungal meningitis, viral meningitis, encephalitis  Blood – trauma from tab, intracranial bleeding
  • 9.  Bacterial meningitis  Fungal meningitis  TB meningitis  Carcinomatous/lymphomatous meningitis  Neurosarcoidosis  Profound systemic hypoglycemia
  • 10.  History of fever, altered mental status, stiff neck(Triad) + headache, seizures, photophobia  PE positive for Brudzinski’s sign, Kerning’s sign ,nuchal rigidity  Lumber puncture consistent with a particular meningitis
  • 11.  Cranial nerve injury – CN VIII hearing loss  Seizure disorder  Long term cognitive delay  Venous sinus thrombosis  stroke Hydrocephalus
  • 12.  Ceftriaxone 2g IV 12hr +  Vancomycin 15-20mg/kg 8hr +  Ampicillin 2g IV 4hr – for patients >50 Plus  High dose steroids