BACTERIAL MENINGITIS BY DR BASHIR AHMED DAR ASSOCIATE PROFESSOR MEDICINE CHINKIPORA SOPORE KASHMIR
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BACTERIAL MENINGITIS BY DR BASHIR AHMED DAR ASSOCIATE PROFESSOR MEDICINE CHINKIPORA SOPORE KASHMIR
- 39. Hemophilus influenza (H flu) Strep pneumoniae
- 51. The white appearance of this calf brain is caused by neutrophils within the meninges – a condition known as meningitis. This is usually due to a bacterial infection.
- 52. This calf brain shows similar pathology. If a glass slide is pressed to the surface of the brain and stained it would show high numbers of neutrophils.
- 53. Bovine This brain shows irregular red spots which are areas of hemorrhage and necrosis caused by the bacteria, Histophilus somni .
- 60. Evolution of the Abscess
- 62. Evolution of the Abscess
- 63. Evolution of the Abscess
- 64. Evolution of the Abscess Abscess-Cerebral Gross:
- 67. Meningial enhancement Meningial enhancement in a Bacterial meningitis - CT Scan Image
- 74. Signs & symptoms of Meningitis
- 77. Normal fundus
- 82. Meningococcemia - Purpura fulminans
- 89. Increased intracranial pressure Headache Vomiting Decreased Level of Consciousness Papilledema Herniation
- 156. CSF evaluation decreased increased < 500 Fungal decreased increased <500 TB Low to normal increased <1000 Viral <2.2 m mol/l 100-500 or >1.5gm/l >1000K PMN’s Bacterial, acute >50 (2.2 mmol to 4 mmol/l) 5-45 <5 , lymphocytes mainly Normal Glucose (mg/dL) Protein (mg/dL) WBC Condition
- 157. CSF Diagnosis Elevated (>100 mg) Low Elevated (PMN’s early, lymphs late TB Meningitis Normal or slightly elevated Normal to low Elevated (PMN’s early, lymphocytes late) Aseptic Meningitis Elevated (>100 mg) Low >1000 PMN’s predominate Bacterial Meningitis 15 to 45 mg/dl 2/3 rd of serum glucose <5 (lymphocytes) Normal Protein Glucose WBC
- 158. CSF evaluation Normal Upto 100 <1000 Viral low Upto 500 <500 Fungal low Increased upto 500 mg/dl <500 TB Low Increased>more than 100 mg/d >1000 PMN’s Bacterial, acute >50 5-45 <5, lymph's mainly Normal Glucose (mg/dL) Protein (mg/dL) WBC Condition
- 159. Summary of Typical CSF Findings +TB Negative Positive Negative Culture Increased +/- Increased Increased 5-40 Protein < 30% Normal <40% 66% CSF plasma: Glucose ratio Decreased Normal Decreased 60-80 Glucose Increased Predominate Late 5 Lymphocytes +/- increased Early Predominate 0 Polymorphs <500 <1000 >1000 0-5 Cells TB Viral Bacterial Normal