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Bacterial Meningitis: Pathophysiology and Treatment
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Bacterial Meningitis: Pathophysiology and Treatment

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Questions and Answers

What is a consequence of neuronal loss in survivors of bacterial meningitis?

  • Enhanced memory function
  • Hippocampal atrophy (correct)
  • Increased CSF production
  • Decreased intracranial pressure
  • Which bacterial component is known to translocate to mitochondria and induce pore formation?

  • Lipopolysaccharide
  • Lipopeptide
  • Peptidoglycan
  • Pneumolysin (correct)
  • How do bacterial components trigger microglial activation?

  • In a TLR-dependent manner (correct)
  • Through direct neuronal contact
  • By decreasing neuronal activity
  • By lowering reactive oxygen species
  • Which of the following molecules is released from damaged mitochondria and contributes to apoptosis-like cell death?

    <p>Apoptosis inducing factor</p> Signup and view all the answers

    What is a role of reactive oxygen and nitrogen species during bacterial meningitis?

    <p>They coalesce to damage tissue.</p> Signup and view all the answers

    How does cell death occur in a caspase-independent manner during meningitis?

    <p>Through the release of endogenous 'danger signals'</p> Signup and view all the answers

    What effect do caspase inhibitors have on the neurons exposed to live pneumococci?

    <p>They are ineffective in preventing cell death.</p> Signup and view all the answers

    What is the result of large-scale fragmentation of DNA during cell death?

    <p>Apoptosis-like cell death</p> Signup and view all the answers

    Which pathogens are identified as the most common causes of bacterial meningitis?

    <p>Streptococcus pneumoniae and Neisseria meningitidis</p> Signup and view all the answers

    What are the main challenges presented by emerging antibiotic resistance in bacterial meningitis treatment?

    <p>Reduced effectiveness of available treatments</p> Signup and view all the answers

    What type of cellular mechanism is significantly involved in brain damage during bacterial meningitis?

    <p>Apoptosis mechanisms</p> Signup and view all the answers

    What role do microglia play in the context of bacterial meningitis?

    <p>Activating to respond to inflammation and injury</p> Signup and view all the answers

    How do caspase inhibitors affect outcomes in bacterial meningitis?

    <p>They prevent apoptosis in neuronal cells</p> Signup and view all the answers

    What clinical feature is considered nonspecific in bacterial meningitis?

    <p>Fever</p> Signup and view all the answers

    Which component is linked to the severity of meningococcal disease?

    <p>LPS concentrations</p> Signup and view all the answers

    How does TRAIL affect activated granulocytes?

    <p>Promotes their death</p> Signup and view all the answers

    What is a mechanism by which PAMPs induce neurotoxicity?

    <p>Activation of PRRs on microglia</p> Signup and view all the answers

    What role does LPS play in relation to clinical outcomes in bacterial infections?

    <p>It correlates with the presence of CSF pleocytosis</p> Signup and view all the answers

    Which of the following statements about neurons is true?

    <p>They are resistant to TLR ligands.</p> Signup and view all the answers

    What outcome results from recombinant TRAIL therapy in experimental meningitis?

    <p>Neuroprotection</p> Signup and view all the answers

    What is the primary consequence of granulocyte activity in the context of antibiotic treatment?

    <p>Increased bacterial debris</p> Signup and view all the answers

    Which of the following is a common feature of meningitis that indicates meningeal irritation?

    <p>Photophobia</p> Signup and view all the answers

    What is the consequence of TRAIL deficiency in mice during meningitis?

    <p>Prolonged CSF pleocytosis</p> Signup and view all the answers

    What are the two major toxins associated with neuronal damage in bacterial meningitis?

    <p>H2O2 and pneumolysin</p> Signup and view all the answers

    Which type of cell is NOT mentioned as playing a role in the inflammatory response in bacterial meningitis?

    <p>Neutrophils</p> Signup and view all the answers

    How can the neuronal damage caused by pneumococcal mutants with toxic deficiencies be described?

    <p>Decreased by 50%</p> Signup and view all the answers

    What role do immune pattern recognition molecules like CD14 and LBP play in bacterial meningitis?

    <p>They function as sensors for pathogen-associated molecular patterns.</p> Signup and view all the answers

    Which signaling pathway is activated by TLR2 and TLR4 in response to pneumococcal toxins?

    <p>NFkB and MAP kinases</p> Signup and view all the answers

    Which of the following is observed in patients who survive bacterial meningitis?

    <p>Up to 50% suffer from disabling neuropsychological deficits</p> Signup and view all the answers

    What type of damage does the toxin pneumolysin invoke in neurons?

    <p>Mitochondrial damage</p> Signup and view all the answers

    Which area of the brain is noted to be the most vulnerable following bacterial meningitis?

    <p>Hippocampus</p> Signup and view all the answers

    What type of inflammatory response is associated with TLR signaling during bacterial meningitis?

    <p>Rapid inflammatory response</p> Signup and view all the answers

    Which of the following is a common consequence of prolonged toxic activity from insufficiently treated bacterial meningitis?

    <p>Impairment of neuronal functions</p> Signup and view all the answers

    Study Notes

    Bacterial Meningitis: Pathophysiology and Treatment

    • Bacterial meningitis is a medical emergency that requires immediate diagnosis and treatment.
    • Streptococcus pneumoniae and Neisseria meningitidis are the most common and aggressive pathogens of meningitis.
    • Antibiotic resistance is a growing concern.
    • Hippocampal atrophy is a reported complication of bacterial meningitis on MRI scans.
    • Bacterial toxins and inflammatory byproducts contribute to brain damage.
    • Peptidoglycan (PG) and lipopolysaccharide (LPS) are bacterial components that induce an immune response.
    • Pneumolysin, a pore-forming toxin produced by pneumococci, can cause mitochondrial damage and cell death.
    • TLR4 and TLR2 are pattern recognition receptors (PRRs) that recognize bacterial PAMPs and activate microglia.
    • Microglia release nitric oxide (NO), a cytotoxic molecule that damages neurons.
    • TRAIL, a cytokine, can reduce granulocyte lifespan and provide neuroprotection.
    • Clinical features of bacterial meningitis include fever, headache, neck stiffness, photophobia, phonophobia, and vomiting.
    • Antibiotic therapy is crucial for eliminating live bacteria and their metabolites.
    • Early damage to the blood-brain barrier allows bacteria and their toxins to reach the brain.
    • Neuronal damage can result from direct bacterial toxicity, immune response activation, and mitochondrial dysfunction.
    • Hippocampus is particularly vulnerable to damage in bacterial meningitis.
    • Neuropsychological deficits are common in survivors of bacterial meningitis.
    • Dexamethasone, a corticosteroid, can reduce inflammation and improve outcomes in bacterial meningitis.

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    Related Documents

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    Description

    This quiz covers the crucial aspects of bacterial meningitis, including its pathophysiology and treatment options. Focused on common pathogens like Streptococcus pneumoniae and Neisseria meningitidis, it also addresses complications and the role of immune response. Enhance your understanding of this medical emergency with key concepts related to diagnosis and management.

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