Bacterial meningitis classification: Difference between revisions
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*Streptococcus pneumoniae | *Streptococcus pneumoniae | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Hypothermia or hyperthermia | |||
* Jaundice | |||
* Irritability | |||
* Bulging fontanelle | |||
* Vomiting | |||
* High pitched cry | |||
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|- | |- | ||
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*Listeria monocytogenes | *Listeria monocytogenes | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Fever | |||
* Neck stiffnes | |||
* Headache | |||
* Nausea and Vomiting | |||
* Papilledema | |||
* Bradycardia | |||
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|- | |- | ||
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*Hemophilus influenza type b | *Hemophilus influenza type b | ||
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* Hypothermia or hyperthermia | |||
* Altered mental status | |||
* Decreased oral intake | |||
* Disrupted sleep | |||
* Neck stiffness | |||
|- | |- | ||
| colspan="3" style="background: #4479BA; text-align: center;" | {{fontcolor|#FFF|'''According to severity of the disease'''}} | | colspan="3" style="background: #4479BA; text-align: center;" | {{fontcolor|#FFF|'''According to severity of the disease'''}} | ||
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| style="padding: 5px 5px; background: #DCDCDC;" |Severe | | style="padding: 5px 5px; background: #DCDCDC;" |Severe | ||
| style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | | style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | ||
* | |||
|- | |- | ||
| colspan="3" style="background: #4479BA; text-align: center;" | {{fontcolor|#FFF|'''According to the duration of disease'''}} | | colspan="3" style="background: #4479BA; text-align: center;" | {{fontcolor|#FFF|'''According to the duration of disease'''}} | ||
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| style="padding: 5px 5px; background: #DCDCDC;" |Acute | | style="padding: 5px 5px; background: #DCDCDC;" |Acute | ||
| style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | | style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | ||
* Lasts less than 4 weeks | |||
* Patient acutely ill | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | | | style="padding: 5px 5px; background: #DCDCDC;" |Chronic | ||
| style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | | style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | ||
* Lasts more than 4 weeks | |||
* Gradual deterioration of patient | |||
* Prolonged history of atypical symptoms | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | | | style="padding: 5px 5px; background: #DCDCDC;" |Recurrent | ||
| style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | | style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | ||
* Multiple episodes which lasts less than 4 weeks | |||
* History of incompliance to medication | |||
* Common in young children | |||
* Anatomical defect or immunosuppression may be the underlying cause | |||
|- | |- | ||
|} | |} |
Revision as of 18:08, 11 January 2017
Bacterial meningitis Microchapters |
Diagnosis |
Treatment |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
Classification
Bacterial meningitis may be classified according to the age group, causative agent, severity, and duration of disease.
According to age group | |||
Age group | Etiological agent | Clinical features | |
---|---|---|---|
Neonates and infants |
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Adults |
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Elderly |
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According to severity of the disease | |||
Mild | |||
Moderate | |||
Severe |
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According to the duration of disease | |||
Acute |
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Chronic |
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Recurrent |
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According to age group
Etiological agent and clinical presentation differs in infants and adults:
====Meningitis in infants and newborns====
Etiological agent
- Group B streptococcus
- E coli
- Listeria monocytogenes
- Streptococcus pneumoniae
Meningitis in adults
- Streptococcus pneumoniae
- Neisseria meningitides
- Hemophilus influenza type b
- Listeria monocytogenes
According to causative agent
According to severity
Mild
Moderate
Severe or fatal
According to duration of disease
Acute
- Lasts < 4 weeks
Subacute
Chronic
- Lasts > 4weeks
Recurrent
- Multiple episodes < 4 weeks