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16 Cards in this Set

  • Front
  • Back

Causes of CNS infections

*Bacteria


*Viruses


*Fungi


*Protozoans


*Rickettsiae

Type of meningitis usually caused by bacteria

Acute purulent meningitis

Type of meningitis usually caused by viruses

Acute lymphocytic meningitis

Common organisms that cause bacterial meningitis

*Neisseria meningitis


*Meningococcus


*Streptococcus pneumoniae


*Haemophilus influenzae


*Escherichia coli

Risk factors for bacterial meningitis

*Head trauma with basal skull fracture


*Otitis media


*Mastoiditis


*Sinusitis


*Neurosurgery


*Systemic sepsis


*Immunocompromise

Manifestations of bacterial meningitis

*Nuchal rigidity


*Positive brudzinski sign


*Positive kernig's sign


*Severe headache


*Chills and high fever


*Altered level of consciousness


>Confusion


>Restlessness


>Agitation


>Irritability


*Photophobia


*Diplopia


*Seizures


*Signs of increased ICP


*Petechial rash or ecchymosis (meningococcal)


*Back and abdominal pain


*NV

Complications of bacterial meningitis

*Cranial nerve damage - cranial nerve VIII- nerve deafness


*Hydrocephalus

Viruses causing viral meningitis

*Herpes simplex


*Herpes zoster


*Epstein-Barr


*Cytomegalovirus


*West Nile virus

Manifestations of viral meningitis

*Flu like symptoms - Mild


*Intense headache


*Nausea


*Vomiting


*Lethargy


*Photophobia


*Mildly elevated temperature


*Neck stiffness


*Positive brudzinski sign


*Positive kernig's sign

Generalized infection of the parenchyma of the brain or spinal cord

Encephalitis

Manifestations of Viral Encephalitis

*Fever


*Headache


*Stiff neck


*Seizures


*Altered level of consciousness


>Disorientation


>Agitation


>Restlessness


>Lethargy


>Drowsiness


*Coma

Arbovirus encephalitis manifestations

*Degeneration of nerve cells


*Edema and necrosis with or without hemorrhage


*Increased ICP


*Fever


*Malaise


*Sore throat


*Nausea and vomiting


*Stiff neck


*Tremors


*Paralysis of extremities


*Exaggerated deep tendon reflexes


*Seizures


*Altered level of consciousness

Causes of brain abscess

*Open trauma


*Neurosurgery


*Infections of the


>Mastoid


>Middle ear


>Nasal cavity


>Nasal sinuses


*Metastatic spread from other areas of infection

Manifestations of a brain abscess

Early


*Chills


*Fever


*Malaise


*Anorexia



*Seizures


*Altered level of consciousness


*Manifestations of increased ICP


*Symptoms related to location

Treatment of brain abscess

*Antibiotics


*Drained or surgically removed

CSF properties associated with bacterial meningitis

*Cloudy


*Increased white blood cell count


*Increased protein


*Decreased glucose