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34 Cards in this Set

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  • Back
How do you treat meningitis?
Ceftriaxone 2 gm IV
Cefotaxime
Chloramphenical
Which drugs can cause agranulocytosis?
PTU
Bactrim
Chloramphenicol
Dylantin
a painful mouth infection caused by coxsackieviruses
herpangina
What are viral causes of exudative pharyngitis?
Coxackie
Adenovirus
EBV
infection of the gums leading to inflammation, bleeding, deep ulceration and necrotic gum tissue
Vincent's angina
Name conditions that cause stomatitis
Behcet's
HSV
Vincent's
Herpangina
Syphilis
Name organisms that cause aseptic meningitis
Coxackie
Enterovirus
Herpes- treatable
Fungal: histo, coccidio
Spirochetes
Lyme disease
What are the anaerobic organisms found in the mouth?
Prevatella
Fusobacterium
Peptostreptococcus
Porfomonas
Bacterial organisms that cause meningitis
18-50 y/o: S pneumo, N.meningitidis

>50 y/o: S.pneumo, N.meningitidis, Listeria, Gram negatives
Which cranial nerves are usually affected with CNS infections?
II, III, IV, VII, VIII
How do you treat Listeria miningitis?
Ampicillin with AG
Test of choice with a h/o unilateral headache with focal neurological signs or seizures
Do a CT scan because the symptoms imply a mass lesion

Don't do an LP: can cause cerebral herniation
What are signs/symptoms of meningitis
Fever
Headache
Stiff neck
Signs and symptoms of encephalitis
Confusion
Bizarre behavior
< LOC
Focal neurologic signs
Seizures
MCC of infectious meningitis
Bacterial
Viral
Tuberculous
Fungal
MCC of Non-infectious meningitis
Subarachnoid Hemorrhage
Cancer
Sarcoidosis
What are the 3 types of infectious meningitis
Acute
Aseptic
Subacute
Palpable purpura is suggestive of this infection
N.meningitidis infection
What drug should be given to household members of pts with meningococcal and H.flu meningitis for prophylaxis?
Rifampin 10mg/kg BID for 2 days
What is the DOC for meningitis caused by Listeria
Ampicillin 15-21 days
AG for the first 7 days
Name two side effects of rifampin that you should mention to the patient
Urine and tears will turn orange

Oral contraceptives will be temporarily inactivated
Meningitis assoc with negative gram stains and cultures
Aseptic meningitis
MCC of aseptic miningitis
Enteroviruses:

Coxackie
Choriomeningitis
Herpes simplex
Echovirus
Mumps
Leptospira
Describe Aseptic meningitis
Benign illness of viral origin that presents with headache and fever
Name organisms that cause Subacute and chronic meningitis
HIV
TB
Cryptococcus
Coccidioides
Histoplasma
Treponema pallidum
Lyme disease
What are S/Sx of TB meningitis?
Headache
Fever
Altered mental status
Papilledema
Cranial nerve palsies(II, III, IV, VI, VII)
MCC of fungal meningitis? How do you treat?
Cryptococcal

Treat with amphotericin B
Test for cryptococcus
India Ink
Infection of the dorsal nerve roots that appears 10-20 years after primary syphilitic infection
Tabes dorsalis
What are the symptoms of Tabes dorsalis
Lightning-like pains
Sensory neuropathy of the legs
Loss of vibration, position sense
Areflexia
Postural hypotension
Foot ulcers
Traumatic arthropathy of the joints
Argyll Robertson pupils
When trying to diagnose the cause of meningitis, how can you tell wether an infectious disease is likely?
If the CSF pleocytosis consists of more than 50-100 cells/uL
What is the most frequent, treatable, and devastating cause of encephalitis?
HSV
Name some S/Sx of encephalitis
Fever
Headache
Stiff neck
Confusion
ALOC
Focal neurologic signs
Seizures
what type of infections produce focal abscesses rather than diffuse miningitis?
Parasitic infections