Pneumococcal meningitis
From WikiLectures
Etiology and epidemiology[edit | edit source]
- G+ pneumococcus, Streptococcus pneumoniae
- affects predominantly adults
- is preceded by inflammation of paranasal sinuses, mastoitis, less often other pneumococcal infections
Clinical symptoms[edit | edit source]
- the course is quite slow, the disease develops within a few days
- fever rises, headaches occur, vomiting, or meningeal syndrome
- in case of direct transmission of the infection to the meninges (after trauma, collaps of an abscess) the development is rapid, within hours.
Diagnosis[edit | edit source]
- positive agar cultivation finding of pneumococcus (from the cerebrospinal fluid)
Therapy[edit | edit source]
- it is necessary to remove the primary lesion – mastoidectomy, fracture repair, sinusitis
- BenzylPNC is effective in our country (but in high doses of 500 000IU/kg/day via rapid infusions)
- chloramphenicol or III. generation cefalosporins – always at least 14 days i.v.
Prognosis[edit | edit source]
- is not favorable, up to 20% of those affected die, it is even worse for the elderly or splenect pacients
Prevention[edit | edit source]
- polyvalent Pneumo23 vaccine for children above 2 years of age and for risk groups among adults
Links[edit | edit source]
Related articles[edit | edit source]
- Meningitis: Haemophilus meningitis ▪ Meningococcal meningitis ▪ Viral meningitis
- Cerebrospinal fluid
- Purulent meningitis
Source[edit | edit source]
- BENEŠ, Jiří. Studijní materiály [online]. ©2007. [cit. 2010]. <http://jirben.wz.cz>.
Literature[edit | edit source]
- HRODEK, Otto – VAVŘINEC, Jan, et al. Pediatrie. 1. edition. Praha : Galén, 2002. ISBN 80-7262-178-5.
- ŠAŠINKA, Miroslav – ŠAGÁT, Tibor – KOVÁCS, László, et al. Pediatria. 2. edition. Bratislava : Herba, 2007. ISBN 978-80-89171-49-1.
