The epidemiology of bacterial meningitis has changed as a result of the. The childrens hospital and institute of child health, lahore, pakistan. Differential diagnosis of tuberculous meningitis from. Chronic and recurrent meningitis practical neurology. An overview in relation tothesudan, mustafa abdallah salih, mb,bs, mpch,md department of paediatrics and child health, faculty of medicine, university of khartoum introduction sudan lies within the meningitis belt and merringococcal disease has been one of its major problems throughout the twentieth century. Broadly speaking, there are three main potential areas of concern. In as many as one third of cases, no cause is found.
Neuronal loss translates into hippocampal atrophy and has been reported on mri scans in survivors of bacterial meningitis free et al. Meningitis is an inflammation of the meninges, the protective membranes of the central nervous system, is more common in the neonatal period infants less than 44 days old than any other time in life, and is an important cause of morbidity and mortality globally. Objective to report a unique case of a latedeveloping vasculopathy after pyogenic meningitis in an adult. Pdf carotid angiography in tuberculous and pyogenic.
Acute pyogenic meningitis synonyms, acute pyogenic. Duration of symptoms and outcome in bacterial meningitis. Pediatric pyogenic meningitis pyogenic meningitis 2. Pyogenic liver abscess, bacteremia, and meningitis with hypermucoviscous klebsiella pneumoniae.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. Carotid angiography in tuberculous and pyogenic meningitis article pdf available in the indian journal of tuberculosis 383 january 1991 with 27 reads how we measure reads. International and local guidelines differ with regard to initial empirical therapy of bacterial meningitis in adults. Subscribe to americas largest dictionary and get thousands more definitions and advanced searchad free. Epidemiology, diagnosis, and antimicrobial treatment of acute. Pneumococcal meningitis associated pyogenic ventriculitis article in journal of infection 703 november 2014 with 80 reads how we measure reads. Pyogenic meningitis, also referred as bacterial meningitis, is a lifethreatening cns infectious disease affecting the meninges, with elevated mortality and disability rates. Although many types of microbes cause meningitis, apm is most often caused by a variety. The most common symptoms are fever, headache, and neck stiffness. Ds363 case study 36 acute pyogenic meningitis disease summary definition acute pyogenic meningitis apm is a potentially fatal inflammation of the leptomeninges of the brain and spinal cord i.
Many of their symptoms are the same see meningitis symptoms. Acute pyogenic bacterial meningitis part 2 duration. Laboratory diagnosis of meningitis an overview in relation. Acute pyogenic bacterial meningitis part 2 youtube. Naegleria fowleri is a freeliving microscopic ameba that lives in warm water and soil. Pathophysiology and treatment of bacterial meningitis ncbi. Clinical features are poor discriminators for meningitis, so urgent investigations, starting with lumbar puncture, are key. Get a printable copy pdf file of the complete article 584k, or click on a page image below to browse page by page. The mt ratio of tuberculous meningitis has been described as being significantly lower than that of pyogenic and fungal meningitis.
Pdf differential diagnosis of tuberculous meningitis. An unusual case report in a human tcell lymphotropic virus positive patient of. Meningitis about bacterial meningitis infection cdc. A retrospective study of 48 children with pyogenic meningitis who were admitted between january 1986 and december, 1987 at the ogun state university teaching hospital, sagamu has shown that.
This is normally caused by infection but can also have non. Meningitis is an infection of the lining of the brain and. Other symptoms include confusion or altered consciousness, vomiting, and an inability to tolerate light or loud noises. Community acquired bacterial meningitis, bacterial meningitis, pyogenic meningitis, streptococcus. Bacterial meningitis causes, risk factors, transmission, symptoms, diagnosis, treatment, and prevention. Disease bioinformatics meningitis causes inflammation of the meninges which is the protective membranes surrounding the in the brain and spinal cord. Acute pyogenic bacterial meningitis part 4 duration. Evaluation of enzymes in pyogenic and tuberculous meningitis. Ct and mr imaging features of pyogenic ventriculitis. Meningitis is an acute inflammation of the protective membranes covering the brain and spinal cord, known collectively as the meninges. Only 1039 was positive for the three organisms tested. Meningitis occurs when the membranes that cover the brain and spinal cord become inflamed. Background although vasculopathy is a recognized complication during acute meningitis, to our knowledge, no previous reports have been published of this phenomenon developing months after successful treatment.
Meningitis is difficult to diagnose because it usually comes on suddenly and can be easily confused with the flu. Najeeb lectures medical lectures videos if you found this video helpful then please like and share. Difficult and recurrent meningitis journal of neurology. If you notice any of the symptoms of meningitis, particularly in a young child, seek medical help immediately. Bacterial meningitis is a potentially catastrophic infectious disease associated with substantial mortality and a risk of permanent disability in survivors. Background tuberculous meningitis tbm is a major global health problem, and it is sometimes difficult to perform a differential diagnosis of this disease from other diseases, particularly partiallytreated pyogenic meningitis ptpm. Pneumococcal meningitisassociated pyogenic ventriculitis. Pdf bacterial meningitis is an inflammation of the meninges, including the pia. The etiologies of meningitis range in severity from benign and selflimited to lifethreatening with potentially severe morbidity. Thomas karen e, hasbun rodrigo, jekel james, quagliarello vincent j. Three bacteria haemophilus influenzae, streptococcus pneumoniae, neisseria meningitidis account for the majority of cases 4,5. Important infective causes include partially treated bacterial pyogenic.
Clinical diagnosisthe classical symptoms and signs of acute meningitis may be absent in the very young, the very old and the very sick. However, the imaging features of only a few cases of ventriculitis have been described in adults. Bacterial meningitis is generally more severe and may. Leptomeningitis, which is more commonly referred to as meningitis, represents inflammation of the subarachnoid space i. Acute pyogenic bacterial meningitis part 5 youtube. It is important to know the specific cause of meningitis because the treatment differs. Even with appropriate treatment, morbidity and mortality can be substantial. Latedeveloping cerebral arteropathy after pyogenic meningitis. Acute pyogenic bacterial meningitis part 3 duration. In an earlier study, we demonstrated the presence of a 30kd protein antigen in cerebrospinal fluid csf of tbm patients.
Acute pyogenic bacterial meningitis part 1 youtube. To isolate and identify the causative pathogen, antibiotic sensitivity testing and success rate of empirical antibiotic therapy in pyogenic meningitis. Tuberculous meningitis tbm is a major global health problem, and it is sometimes difficult to perform a differential diagnosis of this disease from other diseases, particularly partiallytreated pyogenic meningitis ptpm. The etiologies of meningitis range in severity from benign and selflimited to life threatening with potentially severe morbidity. Pyogenic meningitis meningitis is defined as inflammation of membranes surrounding the brain and spinal cord meningoencephalitis is inflammation of meninges and brain cortex pyogenic meningitis. Pdf pyogenic liver abscess, bacteremia, and meningitis. Viral meningitis is the most common form of meningitis in the uk, but bacterial meningitis continues to be important, with a high mortality. Similar articles the treatment of pyogenic meningitis. In the remainder, infective, neoplastic and socalled aseptic disorders may be identified. Pdf sonography in pyogenic meningitis researchgate. When can the management of meningitis become difficult.
This has been explained by the fact that pyogenic and fungal meningitis elicit large amounts of amino acids and protein, while tuberculous meningitis shows large amounts of lipids with small amounts of amino acids. Pyogenic ventriculitis is an uncommon complication of intracranial infection in adults that has been variably referred to as ependymitis, ventricular empyema, pyocephalus, and ventriculitis. These are among the most important problems in medicine today common acute infections of the nervous system include. Most patients do not need brain imaging before lumbar puncture. Synonyms for acute pyogenic meningitis in free thesaurus. Acute bacterial meningitis viral meningitis brain abscess empyema encephalitis each may present with a nonspecific prodrome of fever and headache. Full text full text is available as a scanned copy of the original print version. Chronic meningitis requires a degree of clinical suspicion, as again signs of meningism may be minimal or absent. Bacteriological profile of community acquired acute bacterial.
253 810 1012 38 361 1388 1133 877 932 170 1172 1476 1542 968 570 609 593 1463 779 283 972 478 143 1152 1313 253 996 530 931 1177