Notes in 01_Meningitis and Encephalitis

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Status	Last Update	Fields
Published	02/10/2024	{{c1::Meningitis}} is {{c2::inflammation and infection of meninges}}
Published	02/10/2024	Presentation of {{c2::Meningitis}} {{c1::Headache}} {{c1::Photophobia}} {{c1::Fever}} {{c1::Neck stiffness}} {{c1::Altered mental status (Cerebral dys…
Published	02/10/2024	Hallmark of Meningococcal Meningitis is {{c1::petechial/non-blanching skin rash}}
Published	02/10/2024	Purpura in a febrile child is {{c1::meningitis}} until proven otherwise
Published	02/10/2024	Common Causative Organisms of Meningitis {{c1::Neisseria meningitidis (Meningococcal Meningitis)}} {{c1::Streptococcus pneumoniae (Pneumococcal Mening…
Published	02/10/2024	{{c1::Encephalitis}} is {{c2::inflammation and infection of brain substance}}
Published	02/10/2024	Presentation of {{c2::Encephalitis}} {{c1::Flu-like prodrome}} {{c1::Progressive headache with fever}} {{c1::+/- meningism (headache, neck stiffness, …
Published	02/10/2024	Common Causative Organisms of Encephalitis {{c1::Herpes simplex virus (HSV) 1 and 2 (Most Common)}} {{c1::Cytomegalovirus}} {{c1::Epstein-Barr vi…
Published	02/10/2024	Presentation of {{c2::Anti-NMDA}} Autoimmune Encephalitis {{c1::Flu-like prodrome}} {{c1::Psychiatric features}} {{c1::Altered mental state}}
Published	02/10/2024	Presentation of {{c2::Anti-VGKC}} Autoimmune Encephalitis {{c1::Frequent seizures}} {{c1::Amnesia}} {{c1::Altered mental state}}
Published	02/10/2024	Investigations of Meningitis {{c1::Elevated CRP}} {{c1::Blood cultures (bacteraemia)}} {{c1::Lumbar puncture and CSF culture}}
Published	02/10/2024	CSF Culture of {{c2::Bacterial}} MeningitisCell Type: {{c1::Neutrophils}}Glucose: {{c1::Reduced}}Protein: {{c1::High}}
Published	02/10/2024	CSF Culture of {{c2::Viral}} Meningitis Cell Type: {{c1::Lymphocytes}}Glucose: {{c1::Normal (60% of blood glucose)}}Protein: {{c1::Slightly …
Published	02/10/2024	Investigations of Encephalitis {{c1::Elevated CRP}} {{c1::Blood cultures}} {{c1::Lumbar puncture and CSF culture}} {{c1::Imaging (CT +/- MRI) may show…
Published	02/10/2024	CSF Culture of {{c2::Encephalitis/Viral Meningitis}}Cell Type: {{c1::Lymphocytes}}Glucose: {{c1::Normal (60% of blood glucose)}}Protein: {{c1::Sl…
Published	02/10/2024	Indications for CT scan before Lumbar PunctureA CT scan should be done first in the following situations to rule out an Intracranial Mass: {{c1::Focal…
Published	02/10/2024	Treatment of Viral Meningitis {{c1::Supportive treatment for viral meningitis (self-limiting within 7 - 14 days)}} Unless: {{c1::HSV meningitis offer:…
Published	02/10/2024	If there is any suspicion of bacterial meningitis, the patient should be commenced on {{c1::Broad-spectrum antibiotics with CNS penetration (e.g. IV …
Published	02/10/2024	Treatment of Viral Encephalitis{{c1::IV aciclovir for HSV and VZV for 14 days then repeat Lumbar Puncture for negativity}}
Published	02/10/2024	Treatment of Autoimmune EncephalitisIf the infection screen and culture turns out negative for both bacterial and viral encephalitis{{c1::Steroid inje…
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