CSF CIRCULATION

Joerelle V. Mojica

Junior Intern, UERM

PEDIATRIC MENINGITIS

Joerelle V. Mojica

Junior Intern, UERM

BACTERIAL MENINGITIS

• Neonatal: grp B Streptococci. E.coli, Proteus, Klebsiella

• 3mos-18yo: Strep pneumoniae, Neisseria meningitidis, H. influenza

• CSF Analysis , C/S• Fluid restriction, elevate head,

hyperventilation, mannitol• E. coli: cefotaxime• Group B strep: ampicillin + gentamycin• Staph pneumonia: Penicillin G

TB Meningitis

• Primary complex spreads hematogenously• Stage 1: nonspecific, ~1 week• Stage 2: changes in sensorium & cognition• Stage 3: coma• Gold standard: CSF C/S• CT scan: basal meningeal enhancement,

hydrocephalus, arteritis, infarct• Chest AP Xray, PPD, Contact tracing• Mannitol, Quadruple therapy, steroids• VP Shunting

FUNGAL MENINGITIS

• Most common: Cryptoccocus Neoformans• SSx similar to TB Meningitis• (+) on India ink and Saboraud’s medium• Amphoterecin B

VIRAL MENINGITIS

• Viremia, along nerve• Japanese B encephalitis, dengue

encephalitis, herpes encephalitis• Supportive• Acyclovir