18 Questions
What should be considered if there is resistance to cefotaxime in Pneumococcal infections?
Addition of Vancomycin
What is the initial empiric antibiotic therapy in infants 1m-3m old with suspected bacterial meningitis?
Ampicillin + Cefotaxime
What is the role of high dose dexamethasone in bacterial meningitis treatment?
To reduce inflammation and neural tissue damage
Which of the following is a complication that has been shown to be reduced with high dose dexamethasone?
Convulsions
What is recommended for the management of increased intracranial pressure (ICP) in bacterial meningitis?
Fluid restriction
What is a primary prevention strategy recommended for preventing bacterial meningitis?
Vaccination against Hib, Men C, and Streptococcus pneumoniae
What is the recommended treatment for Herpes simplex virus infection?
Aciclovir
Which of the following is a common clinical feature of Herpes simplex virus infection cerebellitis?
Normal protein level in CSF
What is the predilection site for Herpes simplex virus in the brain?
Temporal lobes
Which antibiotic is typically included in the initial empiric therapy for Herpes simplex virus infection?
Erythromycin
What is a common finding in the cerebrospinal fluid (CSF) analysis of patients with Herpes simplex virus infection cerebellitis?
Increased protein level
In patients with Herpes simplex virus infection, what type of EEG pattern may be seen over temporal lobe electrodes?
Triphasic pattern
When should a lumbar puncture be performed in a neonate with suspected bacterial meningitis?
Before initiating empiric antibiotic therapy
Which of the following is an accurate interpretation of CSF findings in a neonate with suspected meningitis?
Many healthy newborns may have up to 10 WBC/mm³ and a raised protein level in CSF
Which antibiotic combination is recommended for empiric treatment of suspected early-onset neonatal sepsis?
Ampicillin + Cefotaxime
In the treatment of neonatal bacterial meningitis, what is the recommended duration of antibiotic therapy?
3 weeks
Which of the following is NOT a potential complication of neonatal bacterial meningitis?
Hypoglycemia
What is the role of steroids in the treatment of neonatal bacterial meningitis?
Steroids are contraindicated in neonatal bacterial meningitis
Learn about the treatment protocols for bacterial and viral meningitis, including the use of antibiotics and steroids. Understand the significance of Gram stain, CSF antigens, and blood culture in diagnosis. Explore potential complications like deafness and the role of high-dose dexamethasone in reducing inflammation.
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