Name
MENINGITIS
DESCRIPTION
DETAIL
D.D.: A. INFECTIOUS CAUSES OF ACUTE MENINGITIS - VIRAL MENINGITIS (ASEPTIC MENINGITIS) ENTEROVIRUSES, ARBOVIRUSES, HIV , HSV-1 & 2 ,LYMPHOCYTIC CHORIOMENINGITIS VIRUS, MUMPS, ADENOVIRUS, CYTOMEGALO VIRUS, EPSTEIN BARR VIRUS , INFLUENZA A & B , MEASLES, PARAINFLUENZA, RUBELLA & VERICELLA ZOSTER VIRUS. - BACTERIAL MENINGITIS LIKE MENINGOCOCCAL, PNEUMOCOCCAL, L.MONOCYTOGENES, STAPHYLOCOCCAL & GRAM NEGATIVE BACILLARY MENINGITIS B. INFECTIOUS CAUSES OF CHR MENINGITIS 1. COMMON BACTERIAL CAUSES - PARTIALLY TREATED SUPPURATIVE MENINIGITIS - PARAMENINGEAL INFECTION - MYCOBACTERIUM TUBERCULOSIS - LYME DISEASE ( BORRELIA BURGDORFERI ) - SYPHILIS ( SEC. & TERTIARY ) 2. UNCOMMON BACTERIAL CAUSES - ACTINOMYCES - NOCARDIA - BRUCELLA - WHIPPLES DISEASE ( TROPHEREMA WHIPPELII ) 3. RARE BACTERIAL CAUSES - LEPTOSPIROSIS - PSEUDOALLESCHERIA BOYDII 4. FUNGAL CAUSES - CRYPTOCOCCUS NEOFORMANS - COCCIDIOIDES IMMITIS - CANDIDA SAPROPHYTES - HISTOPLASMA CAPSULATUM - BLASTOMYCES DERMATITIDIS - ASPERGILLUS SP. - SPOROTHRIX SCHENCKII 5. RARE FUNGAL CAUSES - CLADOPHIALOPHORA BANTIANA - CURVULARIA - DRECHSLERA - MUCOR 6. PROTOZOAL CAUSES - TOXOPLASMA GONDII - TRYPANOSOMIASIS - ACANTHAMOEBA SP. ( RARE ) 7. HELMINTHIC CAUSES - CYSTICERCOSIS - GNATHOSTOMA SPINIGERUM - ANGIOSTRONGYLUS CANTONENSIS - BAYLISASCARIS PROCYONIS - TRICHINELLA SPIRALIS ( RARE ) - ECHINOCOCCUS ( RARE ) - SCHISTOSOMA SP. ( RARE ) 8. VIRAL CAUSES - MUMPS - LYMPHOCYTIC CHORIOMENINGITIS - ECHOVIRUS - HIV ( ACUTE RETROVIRAL SYNDROME ) - HERPES SIMPLEX C. NONINFECTIOUS CAUSES OF CHR MENINIGITIS - MALIGNANCY - CHEMICAL COMPOUNDS - PRIMARY INFLAMMATION LIKE * SARCOIDOSIS * VOGT-KOYANAGI-HARADA SYNDROME * ISOLATED GRANULOMATOUS ANGIITIS OF THE NERVOUS SYSTEM * SYSTEMIC LUPUS ERYTHEMATOSUS * BEHCETS SYNDROME * CHR BENIGN LYMPHOCYTIC MENINGITIS * MOLLARET RECURRENT MENINIGITIS * DRUG HYPERSENSITIVITY * WEGENER GRANULOMATOSIS - OTHERS LIKE * MULTIPLE SCLEROSIS * SJOGRENS SYNDROME * RARER FORMS OF VASCULITIS ( COGANS SYNDROME )OTHER TESTS : * BLOOD EXAMI & BLOOD CULTURE TO ISOLATE INFECTIVE ORGANISM * X-RAYS - TO RULE OUT CHEST INFECTION, SINUSITIS & MASTOIDITIS * CSF CULTURE FOR BACTERIAL & FUNGAL GROWTH, GRAM STAINING & VDRL TEST * SERUM LYME ANTIBODY TITER & WESTERN BLOT TEST FOR CONFIRMATION OF LYME DISEASE * ANAEROBIC BLOOD CULTURE * INDIRECT HAEMAGGLUTINATION ASSAY IN CSF & ELISA TEST FOR CYSTICERCOSIS * MENINGEAL BIOPSY OR BIOPSY OF ANY UNUSUAL SKIN LESIONS OR ENLARGED LYMPH NODES.
TYPENOTES
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
VDRL, MONTOUX TEST, URINE ROUTINE, X-RAY CHEST P.A. VIEW( NORMAL ), X-RAY P.N.S. ( WATERS VIEW ), BLOOD CULTURE, CT SCAN HEAD, COMPLETE BLOOD COUNT, MRI HEAD & SPINE, CSF EXAMINATION, PCR, CEREBRAL ANGIOGRAPHY
[MENINGITIS]