Diferencia entre revisiones de «Meningitis (peds)»
(redirecting to general Meningitis page) |
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==Background== | ==Background== | ||
*Meningismus is difficult to discern if <6mo, (esp if <2mo) | *Meningismus is difficult to discern if <6mo, (esp if <2mo) | ||
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==DDx== | ==DDx== | ||
==Treatment== | ==Treatment== | ||
==Disposition== | ==Disposition== | ||
| Línea 37: | Línea 33: | ||
**Appear ill | **Appear ill | ||
**Infants w/ aseptic meningitis | **Infants w/ aseptic meningitis | ||
*If likely viral meningitis still give | *If likely viral meningitis still give [[ceftriaxone]] x 1, f/u in 24hr | ||
==See Also== | ==See Also== | ||
*[[Meningitis]] | *[[Meningitis]] | ||
==Source== | == Source == | ||
Tintinalli | Tintinalli, | ||
Lexicomp | |||
[[Category:ID]] | [[Category:ID]] | ||
[[Category: | [[Category:Neuro]] | ||
Revisión del 21:18 27 feb 2014
Background
- Meningismus is difficult to discern if <6mo, (esp if <2mo)
- <3months old
- 1% incidence of bacterial meningitis
- E. coli, Group B strep, listeria
- >3months old
- S. pneumo, meningococcus, staph
Diagnosis
Bacterial Meningitis Score for >2mo and well-appearing
- Risk Factor
- Peripheral blood ANC >10K
- Seizure
- CSF
- CSF ANC >1000
- CSF protein >80
- CSF Gram stain (if + 61% Sn, 99% Sp)
- Any risk factor = high risk for bacterial meningitis
- Very low risk if infant lacks all risk factors
Work-Up
- CBC
- CSF
DDx
Treatment
Disposition
- Admit despite negative meningitis score if:
- Age <2mo w/ any degree of pleocytosis
- Appear ill
- Infants w/ aseptic meningitis
- If likely viral meningitis still give ceftriaxone x 1, f/u in 24hr
See Also
Source
Tintinalli, Lexicomp