Chronic meningitis

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]

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]

Chronic meningitis

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Chronic meningitis