Clinical Presentation of Acute Bacterial Meningitis
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Questions and Answers

What skin lesions are typically indicative of meningococcal involvement in bacterial meningitis?

  • Pustules
  • Petechiae (correct)
  • Ecchymoses
  • Urticaria

Which of the following is a common clinical sign of bacterial meningitis in young children?

  • Bradypnea
  • Bradycardia
  • Apnea (correct)
  • Hypertension

Which diagnostic marker in cerebrospinal fluid (CSF) is commonly altered in patients with meningitis?

  • Hemoglobin concentration
  • Cholesterol level
  • Glucose concentration (correct)
  • Creatinine level

In bacterial meningitis, which diagnostic method may provide rapid results but could be affected by prior antibiotic therapy?

<p>Gram stain (D)</p> Signup and view all the answers

What is considered the gold standard for the diagnosis of bacterial meningitis?

<p>CSF culture (A)</p> Signup and view all the answers

Polymerase chain reaction (PCR) techniques are particularly helpful in diagnosing CNS infections when?

<p>After antibiotic administration (C)</p> Signup and view all the answers

What is the primary clue that the underlying pathogen is N. meningitidis in patients?

<p>Presence of petechiae (C)</p> Signup and view all the answers

Which antimicrobial is recommended for penicillin-susceptible isolates of N. meningitidis in meningococcal meningitis?

<p>Ampicillin (D)</p> Signup and view all the answers

What is the recommended duration of therapy for meningococcal meningitis if there is a good clinical response?

<p>7 days (B)</p> Signup and view all the answers

Which cephalosporin antibiotics are recommended as the empiric treatment for meningococcal meningitis?

<p>Cefotaxime and ceftriaxone (C)</p> Signup and view all the answers

What type of contacts should receive antimicrobial chemoprophylaxis for N. meningitidis?

<p>Close contacts of infected individuals (C)</p> Signup and view all the answers

What is the advantage of direct instillation of antibiotics intrathecally or intraventricularly for bacterial meningitis?

<p>Higher antibiotic penetration due to increased meningeal inflammation (B)</p> Signup and view all the answers

When might intraventricular delivery of antibiotics be necessary for meningitis treatment?

<p>When patients have shunt infections that are difficult to eradicate (A)</p> Signup and view all the answers

Which antimicrobial agent is an exception in terms of penetration into the CSF?

<p>Cefuroxime (C)</p> Signup and view all the answers

Why may some anti-infective agents not achieve therapeutic levels against certain organisms in the CSF?

<p>Higher MIC of target pathogens (C)</p> Signup and view all the answers

What is the recommended duration of antibiotic therapy for meningitis caused by S.pneumoniae?

<p>10-14 days (B)</p> Signup and view all the answers

When might PCR techniques be particularly useful for the rapid diagnosis of bacterial meningitis?

<p>In cases where rapid identification of the pathogen is crucial (B)</p> Signup and view all the answers

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