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Meningitis

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MENINGITIS

Submitted By: Mehak


Roll No: 33
Class: BSC NURSING 3rd Year
DEFINITION
• Meningitis (from Greek meninx,
“membrane”) is an acute
inflammation of the ,meninges.

• Caused by either bacteria virus.


ETIOLOGY
Bacterial Infections Inflammatory Diseases
Cancer
Viral infections Trauma to head or
Fungal infections spine
BACTERIAL MENINGITIS
• Also known an septic meningitis.
• Extremely serious that requires immediate
care.
• Can lead to permanent damage of brain or
disability and death.
• Spreads by: coughing or sneezing
TUBERCULAR MENINGITIS
• Tb meningitis is caused by Mycobacterium
tuberculi.
• Infection with this bacterium begins usually in
the lungs.
• 1-2% of cases the bacteria travel via the
bloodstream.
• Unlike other types of meningitis its progresses
very slowly and symptoms are vague.
VIRAL MENINGITIS
• Also known as aseptic meningitis.
• More common than bacterial form and usually
less serious.
• Less likely to have permanent brain damage
after the infection resolves.
• Treatment: No specific treatment available.
• Most patients recover completely on their
own.
FUNGAL MENINGITIS

• It is much less common than the other two


infections.
• It is rare in healthy people but it is more likely
in persons who have impaired immune
system.
CLINICAL MANIFESTATION
INFANTS :
• Fever, possibly with cold hands & feet.
• Reusing feeds or vomiting.
• High pitched moaning cry or whimpering.
• Dislike of being handled or fretful.
• Neck retraction with arching of black.
• Blank & staring expression.
• Child is difficult expression
• Child is difficult to wake, lethargic.
• Pale, blotchy complexion.
KERIG’S SIGN
• Severe stiffness of the hamstrings causes an
inability to straighten the leg when the hip is
flexed to 90 degrees.
BRUDZINKI’S SIGN
• Severe neck stiffness causes a patient’s hips
and knees to flex when the neck is flexed.
DIAGONISIS
Lumber puncture shows elevated pressure.

CSF is cloudy or milky.

WBC is raised.

MRI Reveals hydrocephalus.


MANAGEMENT
SPECIFIC TREATMENT

Penicillin with third generation cephalosporin.

Vancomcin with third generation cephalosporin, if penicillin


resistance is suspected

Cefotaxine/ceftriaxone with aminoglycosides.


MANAGEMENT
SYMPTOMATIS TREATMENT:
• Seizure Management
Phenobarbitone 10mg (IV)

Dilantin 7mg/body weight

•Management of increased intracranial pressure

Mannitol

Frusemide
MANAGEMENT
SUPPORTIVE CARE

Administer IV fluids

Monitoring of neurological status

Patient with septic shock require vasoactive drugs like


epinephrine and dopamine
THANK YOU

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