Académique Documents
Professionnel Documents
Culture Documents
Scanning electron micrograph of Staphylococcus aureus bound to the surface of a human neutrophil. “Granulocytic Phagocytes,” by Frank R. DeLeo and William M. Nauseef.
Meningitis
Meningitis is a clinical syndrome characterized by inflammation of meninges
Image Description:
Meningitis in a child with a very
rigid neck
Cerebral malaria should be in
DDx for this child
Most bacterial meningitis in
children can now be prevented
by vaccines frequently still not
available in developing countries
Usatine RP. et al. The Color Atlas of Family Medicine. New York:
McGraw-Hill, 2013
Pyogenic Meningitis: Likeliest Bug In Age Group (In order from death to birth)
(She Never Had Entertainment)
Streptococcus pneumoniae (elderly/>65)
Neisseria meningitis (young adults)
Hemophilus influenzae (older infants, kids)
Escherichia coli (infants)
Runge MS and Greganti MA. Netter's Internal Medicine 2nd Ed. Saunders 2008
Tunkel AR, Hartman BJ, Kaplan SL, et al: Practice guidelines for the management of bacterial meningitis.
Marc Imhotep Cray, M.D.
Clin Infect Dis 39(9):1267-1284, 2004.
Diagnosis
Runge MS and Greganti MA. Netter's Internal Medicine 2nd Ed. Saunders 2008
Viral
Viral meningitis: Causes include HSV virus, Coxsackie virus, echoviruses,
and arboviruses
Viral meningitis: There may be no abnormality or a mild lymphocytic
infiltrate in subarachnoid space; mild edema may be present
Klatt EC. Robbins and Cotran Atlas of Pathology, 3rd Ed., 2015
Klatt EC. Robbins and Cotran Atlas of Pathology, 3rd Ed., 2015
Marc Imhotep Cray, M.D.
Acute meningitis, microscopic
Klatt EC. Robbins and Cotran Atlas of Pathology, 3rd Ed., 2015
29
Sources and further study:
Bloch KC. Ch. 4 Infectious Diseases, Pgs. 61-87 In: Hammer GD and McPhee Eds. JS.
Pathophysiology of Disease : An Introduction to Clinical Medicine, 7th Ed. New York: McGraw-
Hill Education, 2014
Brown TA, Shah SJ Eds. USMLE Step 1 Secrets 3rd ed. Sanders, 2013
Runge MS and Greganti MA. Netter's Internal Medicine 2nd Ed. Saunders 2008
Usatine RP. et al. The Color Atlas of Family Medicine. New York: McGraw-Hill, 2013
Textbooks:
Ryan KJ and Ray CG Eds. Sherris Medical Microbiology, 5th Ed. New York: McGraw-Hill, 2010
Carroll KC etal. Jawetz, Melnick, & Adelberg’s Medical Microbiology 27th Ed. New York:
McGraw-Hill, 2016
Marc Imhotep Cray, M.D. 30