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19 Cards in this Set

  • Front
  • Back
differental for aspectic meningitis for pre and post vaccine era
pre vaccine - mumps
post vaccine - enteroviruses (echo, enterovirus, cocksackie), arboviruses
#1 cause of acquired hearing loss prior to immunization
mumps
bacterial meningitis is less common than viral meningitis because usually caused by encapsulated organisms
**
C5-C9 deficiencies have increased rate of this infection
neisseria meningitidis
children do no produce anti-capsular antibodies to haemophilus naturally until 2 to 3 years of age
so meningitis was more common below this age with haemophilus
number one cause of bacterial meningitis in most age groups
strep pneumoniae
when do most elderly get strep pneumoniae meningitis
after another strep pneumo infection such as otitis, sinusitis, or pneumonia
23-valent polysaccharide vaccine for strep pneumo is available for who
those without a spleen
adults over 65
differential for encephalitis in the US
arboviruses
enterovirus
herpes virus
arbovirus that causes encephalitis in children 5-18
LaCrosse (California) Encephalitis
arboviruses causing encephalitis in adults
St. Louis Encephalitis
West Nile
three presentations of west nile virus
meningitis
encephalitis
acute flaccid paralysis
encephalitis involving the temporal lobe
herpes encephalitis
reservoirs for rhabdovirus
dog
bat
skunk
raccoon
fox
very rare but can occur in children infected with measles while less than 2 years old
subacute sclerosing panencphalitis
fever with muscle pain, flaccid asymmetric paralysis, no sensory involvement
polio
this polio prevention is the best choice in non-endenmic areas with high vaccination rates
inactivated polio vaccine
this polio prevention is the best choice in communities with low vaccines rates
what bad can happen
oral (live, attenuated) polio vaccine
occasionally reverts to active polio in the gut, can spread to unimmunized - herd immunity
virus that can cause Bell's palsy
herpes