Bacterial Meningitis

Inflammation of the meninges

Caused by bacteria, Viruses , fungus, parasites, cancer and certain drugs

An empyema occurring in the brain as an result of meningitis.

Age Group Causes

Newborns Group B Streptococcus, Escherichia coli, Listeria monocytogenes

Infants and Children Streptococcus pneumoniae, Neisseria meningitidis, Haemophilus influenzae type b

Adolescents and Young Adults

Neisseria meningitidis, Streptococcus pneumoniae

Older Adults Streptococcus pneumoniae, Neisseria meningitidis, Listeria monocytogenes

Streptococcus pneumoniae

One of the top contributors ear infections and can cause  Pneumococcal pneumonia.

Gram positive containing polysaccharide capsule prevents the bacteria from undergoing phagocytosis

Listeria monocytogenes

Normally causes Listeriosis

Gram positive bacteria that uses the protein “internalin” to attach to a cadherin protein found in the blood brain barrier.

Neisseria meningitidis

Gram negative bacteria, has trimeric autotransporter adhesin or adhesion proteins which to bind to host cells.

These bacteria can live normally inside of your body and never cause meningitis.

Through an ear infection, head trauma, neural surgery or an compromised immune system, the chances of contracting meningitis are greatly

increased.

The bacteria grows inside the Subarachnoid space in cerebral spinal fluid

The cerebral spinal fluid contains everything these bacteria could want.

Bacterial Meningitis since can be caused by many different bacteria has an incubation period ranging for 2-10 days with 4 days being the average.

The bacteria release endotoxins (cell membrane and cell wall fragments).

Gram positive (Streptococcus, Listeria) -cell wallGram negative(Neisseria ) -cell membrane, cell wall

The immune system recognizes the endotoxins inside the CSF and begins killing the bacteria. Creating dead bacteria and dead white cells (pus) called an empyema.

This inflammation puts pressure on the brain.

Sudden onset of Headaches, neck stiffness, fear, confusion, vomiting, irritability, skin rashes, inability to tolerate light or loud noises

These bacteria can be spread through nose and throat body fluids.

High risk groupsInfancyElderlyImmunocompromisedHead traumaneural surgeryEar infectionsCollege studentsMilitary recruits

The body cannot handle this disease on its own. Untreated bacterial meningitis has a mortality rate of 50%.

Even with early treatment 5-10% of the patients die within the first 24-48 hours since the onset of symptoms. While others can survive but be deaf or develop epilepsy or other cognitive issues.

Blood cultures are used to determine signs of inflammation and a lumbar puncture is used to definitively test for the presence of bacteria in the CSF

The bacteria cultures are grown an are tested with gram staining.

Patients who show these symptoms are immediately put on corticoid steroids, which reduce the bodies inflammatory response.

Bacterial Meningitis is so virulent that treatment is started before the result of the staining and LP are known, with treatment being changed when the results are known.

The treatment is based upon any information the doctors have available. Certain strains and their resistances are more predominate in certain regions.Some symptoms (rashes) only occur in certain strains (Neisseria)

The MCV4 Vaccine can prevent 4 types of bacterial meningitis.

The MCV4 contains no active bacteria, only an antigen taken from a polysaccharide capsule. This is sugar capsule that the bacteria uses to avoid phagocytosis.

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