Conclusions This case report presents two important clinical concepts: firstly, the presentation of chronic meningitis and secondly, the clinical presentation of bacterial meningitis in the older adult (defined as > 60 years old). [bmcfampract.biomedcentral.com]

We would appreciate it if your colleagues and students would present the cases and review that topic during the series or give a case based talk to participate in the program. Please contact the moderators of your region to present a case. [wfneurology.org]

At presentation in our hospital, the child was conscious and oriented, with brisk deep tendon reflexes, and signs of meningeal irritation. No other neurologic signs were present. [neurologyindia.com]

Abstract A 47-year-old man presented with headache, nausea, vomiting and fever. Laboratory findings including analysis of cerebrospinal fluid suggested bacterial meningitis. [microbiologyresearch.org]

Key diagnostic considerations when evaluating a patient presenting with chronic inflammation of the CNS are discussed, and several specific infectious, neoplastic, and autoimmune etiologies are reviewed in detail. [semanticscholar.org]

The workup for Lyme's meningits must be considered once the common infections including tuberculosis have been ruled out in such a scenario. [neurologyindia.com]

Diagnostic workup It is essential that the workup for a patient with meningitis or encephalitis begins with a thorough history and physical exam. [neurologylive.com]

It is often necessary to broaden the number of diagnostic tests if the initial workup does not reveal the cause. [doctorlib.info]

1.9,10 CT and MRI can exclude conditions such as abscesses, tumors, and nonmeningeal infections.6 In a small number of patients, meningeal biopsies are helpful for diagnosing chronic meningitis.7 Treatment of chronic meningitis requires a comprehensive workup [uspharmacist.com]

Pharmacists consulting with chronic meningitis patients in the hospital or the community should discuss the importance of being compliant with the treatment regimen in order to prevent resistance, recurrence, or treatment failure. [uspharmacist.com]

[…] completion.[8] Even prolonging the duration of treatment with oral antibiotics has no role in the treatment of neuroborreliosis.[9] A repeat lumbar puncture in our case after 8 weeks of treatment, with complete clinical recovery, showed normalization [neurologyindia.com]

Treatment of the cause Doctors focus on treating the cause. [msdmanuals.com]

The NIAID mycoses study group and AIDS cooperative treatment groups. Clin Infect Dis. 2000;30(1):47–54. Google Scholar | Crossref | Medline | ISI 7. Van der Horst, CM, Saag, MS, Cloud, GA. [journals.sagepub.com]

(back to contents) overall prognosis Mortality is ~5%. [emcrit.org]

If meningitis is due to leukemia, lymphoma, or cancer, the prognosis is often poor. In such cases, meningitis can be fatal. [msdmanuals.com]

What is the prognosis of sepsis? The Mortality in Emergency Department Sepsis (MEDS) score is used to determine the patient's prognosis in cases of sepsis. [news-medical.net]

Serological tests for cryptococcal antigen PROGNOSIS: Almost always fatal if it goes untreated (90% of patients die within one year). TREATMENT: 1. Amphotericin B injected I.V. and into the subarachnoid space. NOTE: This is poorly absorbed into CSF. [atsu.edu]

Specific infectious etiologies and differential diagnoses of subacute and chronic meningitis, including noninfectious etiologies, are addressed. Author Information Address correspondence to Dr Kiran T. [journals.lww.com]

Key diagnostic considerations when evaluating a patient presenting with chronic inflammation of the CNS are discussed, and several specific infectious, neoplastic, and autoimmune etiologies are reviewed in detail. [semanticscholar.org]

The noninfectious etiology, including auto immune diseases like systemic lupus erythematosis, neurosarcoidosis, and malignancy, may also result in this manifestation.[2] In tropical countries like India, tuberculosis is the most common etiology for such [neurologyindia.com]

However, these causes just scratch the surface of the many possible and reported etiologies, and the diagnostic potentials are multiplied enormously among individuals with HIV infection or other immunocompromising conditions. [jamanetwork.com]

Certain infectious etiologies of encephalitis have anatomical tropisms with specific MRI findings (Table 6). [neurologylive.com]

Communicating hydrocephalus is most problematic if the superior sagittal sinus is thrombosed. epidemiology (back to contents) overall epidemiology This typically affects young patients (most commonly between 20-50YO)(29752489) There is a 2-3 fold female [emcrit.org]

Darras-Joly C, Chevret S, Wolff M, Matheron S, Longuet P, Casalino E, Joly V, Chochillon C, Bedos JP: Cryptococcus neoformans infection in France: epidemiologic features of and early prognostic parameters for 76 patients who were infected with human immunodeficiency [karger.com]

In the US, there were four such waves: first in spring 1918, again in August 1918 (epidemiologically the most devastating of the four), yet again in winter 1918/1919, and a final return in early 1920. [psychiatrictimes.com]

The epidemiologic history is of considerable importance and may provide direction for selection of laboratory studies. [doctorlib.info]

Ampicillin (12–18 g/day in divided doses every 4 hours) or penicillin G (18–24 million units/day IV divided or with continuous therapy) should be added in patients with epidemiologic risk factors for L. monocytogenes (immunocompromised, older than 50 [oxfordmedicine.com]

CONTENTS Pathophysiology Epidemiology Signs & symptoms Laboratory studies Imaging Treatment Neurologic deterioration despite treatment Prognosis Podcast Questions & discussion Pitfalls PDF of this chapter (or create customized PDF) pathophysiology (back [emcrit.org]

CLINICAL PATHOPHYSIOLOGY Neurologic manifestations of chronic meningitis (Table 41-1) are determined by the anatomic location of the inflammation and its consequences. [doctorlib.info]

Prevention Common bacteria or viruses that can cause meningitis can spread through coughing, sneezing, kissing, or sharing eating utensils, a toothbrush or a cigarette. These steps can help prevent meningitis: Wash your hands. [mayoclinic.org]

Prevention HPV vaccination is cancer prevention. HPV vaccination helps prevent six types of cancers caused by HPV in both men and women. HPV vaccination can also help prevent genital warts. [vaccinateyourfamily.org]

How can I help prevent meningitis in my child? Several vaccines are available to prevent some of the bacterial infections that can cause meningitis. These include: H. influenzae type b vaccine (Hib). [stanfordchildrens.org]