Meningitis Treatment and Complications

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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?

Convulsions (D) Signup and view all the answers

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

Fluid restriction (D) Signup and view all the answers

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

Vaccination against Hib, Men C, and Streptococcus pneumoniae (C) Signup and view all the answers

What is the recommended treatment for Herpes simplex virus infection?

Aciclovir (D) Signup and view all the answers

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

Normal protein level in CSF (B) Signup and view all the answers

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

Temporal lobes (B) Signup and view all the answers

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

Erythromycin (D) 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?

Increased protein level (C) 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?

Triphasic pattern (D) Signup and view all the answers

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

Before initiating empiric antibiotic therapy (D) Signup and view all the answers

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 (D) Signup and view all the answers

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

Ampicillin + Cefotaxime (D) Signup and view all the answers

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

3 weeks (C) Signup and view all the answers

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

Hypoglycemia (D) Signup and view all the answers

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

Steroids are contraindicated in neonatal bacterial meningitis (B) Signup and view all the answers