Bacterial meningitis classification: Difference between revisions
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* Papilledema | * Papilledema | ||
* Bradycardia | * Bradycardia | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" |Elderly | | style="padding: 5px 5px; background: #DCDCDC;" |Elderly | ||
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| style="padding: 5px 5px; background: #DCDCDC;" |Mild | | style="padding: 5px 5px; background: #DCDCDC;" |Mild | ||
| style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | | style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | ||
*Early diagnosis and treatment | |||
*Responds to medical treatment | |||
*Typical clinical presentation | |||
*Immunocompetent | |||
*Good prognosis | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" |Moderate | | style="padding: 5px 5px; background: #DCDCDC;" |Moderate | ||
| style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | | style="padding: 5px 5px; background: #F5F5F5;" colspan="2" | | ||
*May present late with typical or atypical symptoms | |||
*May present with complications | |||
*Variable response to treatment | |||
|- | |- | ||
| 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" | | ||
* | *Presents with complications or prolonged illness | ||
*Immunocompromised | |||
*Common in extremes of age | |||
*Delayed diagnosis and treatment | |||
*Surgical treatment may be required in addition to medical treatment | |||
*Increased morbidity and mortality | |||
|- | |- | ||
| 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'''}} |
Revision as of 18:21, 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.[1][2][3][4][5]
According to age group | |||
Age group | Etiological agent | Clinical features | |
---|---|---|---|
Neonates and infants |
|
|
|
Adults |
|
| |
Elderly |
|
| |
According to severity of the disease | |||
Mild |
| ||
Moderate |
| ||
Severe |
| ||
According to the duration of disease | |||
Acute[4][5] |
| ||
Chronic [2][3] |
| ||
Recurrent[1][6] |
|
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
References
- ↑ 1.0 1.1 Lieb G, Krauss J, Collmann H, Schrod L, Sörensen N (1996). "Recurrent bacterial meningitis". Eur J Pediatr. 155 (1): 26–30. PMID 8750806.
- ↑ 2.0 2.1 Boos C, Daneshvar C, Hinton A, Dawes M (2004). "An unusual case of chronic meningitis". BMC Fam Pract. 5: 21. doi:10.1186/1471-2296-5-21. PMC 524513. PMID 15469610.
- ↑ 3.0 3.1 Baldwin KJ, Zunt JR (2014). "Evaluation and treatment of chronic meningitis". Neurohospitalist. 4 (4): 185–95. doi:10.1177/1941874414528940. PMC 4212414. PMID 25360204.
- ↑ 4.0 4.1 Brouwer MC, Tunkel AR, van de Beek D (2010). "Epidemiology, diagnosis, and antimicrobial treatment of acute bacterial meningitis". Clin Microbiol Rev. 23 (3): 467–92. doi:10.1128/CMR.00070-09. PMC 2901656. PMID 20610819.
- ↑ 5.0 5.1 Mace SE (2008). "Acute bacterial meningitis". Emerg Med Clin North Am. 26 (2): 281–317, viii. doi:10.1016/j.emc.2008.02.002. PMID 18406976.
- ↑ Wang HS, Kuo MF, Huang SC (2005). "Diagnostic approach to recurrent bacterial meningitis in children". Chang Gung Med J. 28 (7): 441–52. PMID 16231527.