Meningitis Treatment and Complications
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Questions and Answers

What should be considered if there is resistance to cefotaxime in Pneumococcal infections?

  • Switch to Amikacin
  • Addition of Clindamycin
  • Addition of Vancomycin (correct)
  • Increase the dose of Cefotaxime
  • What is the initial empiric antibiotic therapy in infants 1m-3m old with suspected bacterial meningitis?

  • Cefotaxime alone
  • Vancomycin + Cefotaxime
  • Ampicillin + Ceftriaxone
  • Ampicillin + Cefotaxime (correct)
  • What is the role of high dose dexamethasone in bacterial meningitis treatment?

  • To improve CSF circulation
  • To reduce inflammation and neural tissue damage (correct)
  • To enhance antibiotic activity
  • To prevent seizures
  • Which of the following is a complication that has been shown to be reduced with high dose dexamethasone?

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

    What is recommended for the management of increased intracranial pressure (ICP) in bacterial meningitis?

    <p>Fluid restriction</p> Signup and view all the answers

    What is a primary prevention strategy recommended for preventing bacterial meningitis?

    <p>Vaccination against Hib, Men C, and Streptococcus pneumoniae</p> Signup and view all the answers

    What is the recommended treatment for Herpes simplex virus infection?

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

    Which of the following is a common clinical feature of Herpes simplex virus infection cerebellitis?

    <p>Normal protein level in CSF</p> Signup and view all the answers

    What is the predilection site for Herpes simplex virus in the brain?

    <p>Temporal lobes</p> Signup and view all the answers

    Which antibiotic is typically included in the initial empiric therapy for Herpes simplex virus infection?

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

    What is a common finding in the cerebrospinal fluid (CSF) analysis of patients with Herpes simplex virus infection cerebellitis?

    <p>Increased protein level</p> Signup and view all the answers

    In patients with Herpes simplex virus infection, what type of EEG pattern may be seen over temporal lobe electrodes?

    <p>Triphasic pattern</p> Signup and view all the answers

    When should a lumbar puncture be performed in a neonate with suspected bacterial meningitis?

    <p>Before initiating empiric antibiotic therapy</p> Signup and view all the answers

    Which of the following is an accurate interpretation of CSF findings in a neonate with suspected meningitis?

    <p>Many healthy newborns may have up to 10 WBC/mm³ and a raised protein level in CSF</p> Signup and view all the answers

    Which antibiotic combination is recommended for empiric treatment of suspected early-onset neonatal sepsis?

    <p>Ampicillin + Cefotaxime</p> Signup and view all the answers

    In the treatment of neonatal bacterial meningitis, what is the recommended duration of antibiotic therapy?

    <p>3 weeks</p> Signup and view all the answers

    Which of the following is NOT a potential complication of neonatal bacterial meningitis?

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

    What is the role of steroids in the treatment of neonatal bacterial meningitis?

    <p>Steroids are contraindicated in neonatal bacterial meningitis</p> Signup and view all the answers

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