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Meningism

Meningisms

Meningism refers to nuchal rigidity or neck stiffness.


Presentation

  • A diagnosis of spinal subarachnoid haemorrhage should be considered in any patient who presents with acute back pain and slowly or rapidly progressive neurological signs in the limbs, even when meningism is absent.[ncbi.nlm.nih.gov]
  • Meningitis, however, is a frequent infection encountered in young children, and the development of meningeal irritation during therapy with OKT3 may present a diagnostic dilemma.[ncbi.nlm.nih.gov]
  • None of the signs are particularly sensitive; in adults with meningitis, nuchal rigidity was present in 30% and Kernig's or Brudzinski's sign only in 5%.[en.wikipedia.org]
  • It typically presents with a recent onset of temporal headache, myalgia, malaise or fever. We report a rare case of meningism as a presenting feature of GCA.[academic.oup.com]
Food Poisoning
  • Thirty six patients were admitted to hospital as a result of Salmonella virchow infection during an outbreak of food poisoning in Essex in 1984.[ncbi.nlm.nih.gov]
  • Meningismus can result from infection (usually influenza, pneumonia, measles, scarlet fever, typhus, typhoid fever), poisoning (coma, diabetes, uremia, food poisoning, occupational poisoning), brain injury after a lumbar puncture endolumbalno introduction[medicalency.com]
  • Meningismus can be caused due to infection ( influenza , pneumonia , typhus , HIV infection , measles , scarlet fever , typhoid fever , tick-borne encephalitides), poisoning (food poisoning, occupational poisoning), and brain injury after a lumbar puncture[xpertdox.com]
Jaw Claudication
  • This patient’s headaches, photophobia and jaw claudication responded very quickly to high dose oral prednisolone. This response was as expected for GCA. Nonetheless, a delay in diagnosis could have increased his risk of developing complications.[academic.oup.com]
Neck Pain
  • Once again, the most common symptom pattern is persistent headache, neck pain, visual disturbances, photophobia, nausea, vagueness, poor concentration, poor memory and a general sense of malaise and unwellness.[ccst.co.uk]
  • Pain: 1 person, 100.00% Nausea And Vomiting: 1 person, 100.00% Nausea (feeling of having an urge to vomit): 1 person, 100.00% Nasopharyngitis (inflammation of the nasopharynx): 1 person, 100.00% Headache (pain in head): 1 person, 100.00% * Approximation[ehealthme.com]
  • The other thing for the head and neck pain may be Feverfew a herbal remedy.[healthboards.com]
Neck Stiffness
  • It may also be caused by infection with a bacterium, virus, or fungus A disorder characterized by neck stiffness, headache, and photophobia resulting from irritation of the cerebral meninges The symptoms of neck stiffness, headache, and photophobia resulting[icd9data.com]
  • Meningism refers to nuchal rigidity or neck stiffness.[symptoma.com]
  • On regaining consciousness he complained of an occipital headache, neck stiffness and photophobia, and was found to have nuchal rigidity on examination. These clinical features resolved over the following week.[ncbi.nlm.nih.gov]
  • We report a 45-year-old man who presented with fever, acute occipital headache, and neck stiffness. He denied immunocompromised state such as diabetes, cancer or AIDS.[ncbi.nlm.nih.gov]
  • English English Noun ( wikipedia meningism ) The triad of nuchal rigidity (neck stiffness), photophobia, and headache, a sign of irritation of the meninges, as seen in meningitis, subarachnoid hemorrhages, etc.[wikidiff.com]
Kernig's Sign
  • Related clinical signs include Kernig's sign and three signs all named Brudzinski's sign.[en.wikipedia.org]
  • Kernig's sign Kernig's sign (after Vladimir Mikhailovich Kernig, Russian-Baltic German neurologist 1840-1917) is positive when the leg is fully bent in the hip and knee, and subsequent extension in the knee is painful (leading to resistance). [3].[wikidoc.org]
  • Along with Kernig's sign, which is often concurrently sought, it demonstrates poor sensitivity but moderately high specificity for the presence of meningeal inflammation 3.[radiopaedia.org]
  • Following clinical signs are typically the Meningism also positive: Brudzinski sign Kernig's sign Lasègue characters Diseases Typical diseases with meningism are: Meningitis ( meningitis ) Subarachnoid hemorrhage Carcinomatous meningitis Septicopyemia[memim.com]
  • Seven patients had Kernig's sign but did not have Brudzinski's sign; 7 patients had Brudzinski's sign but did not have Kernig's sign; and 4 patients had both meningeal signs. Neither sign was found in the remaining patients.[doi.org]
Rabies
  • ., varicella rash, genital lesions in herpes, enterovirus rash), herpangina in coxsackie virus infection, parotid swelling in mumps, petechiae in meningococcemia, history of Koch's contact, handling animals (brucellosis), or dog-bite (rabies) are important[jpgmonline.com]
Neglect
  • Identify and manage the psychosocial issues surrounding pediatric patients, including major depression and suicidality, sexual and physical abuse, child neglect, and violence.[books.google.it]

Workup

  • Young infants commonly require lumbar puncture as a part of the routine workup for fever without a source, as they have a much higher risk of meningitis than older persons and do not reliably show signs of meningeal irritation ( meningismus ).[diki.pl]
  • Subsequent workup revealed a HIV-1 viral load of 239,000 and a CD4 lymphocyte count of 59/mm 3 . Over the course of his admission, blood cultures grew Streptococcus alactolyticus, which was sensitive to ceftriaxone, so vancomycin was discontinued.[practicalneurology.com]
Glycosuria
  • […] a progressive impairment of consciousness and meningeal symptoms can be observed in subarachnoid hemorrhage.Other symptoms: vomiting, intense pulse, increased blood pressure, sometimes fever, focal movement disorders and seizures.Possible transient glycosuria[upladdy.com]

Treatment

  • Treatments and pathologies linked to “meningism” Associated treatments Apis Mellifica Bryonia Alba Associated pathologies Headaches Vomiting Good to know : Traditional analgesics only have a limited effect on intense headaches which is why, in such cases[homeopathyguide.net]
  • We describe aseptic meningitis in a 10-month-old infant after treatment of cardiac allograft rejection with OKT3.[ncbi.nlm.nih.gov]
  • We postulated that deep neck abscess is an important differential diagnosis in a patient with meningism and medical treatment may be available for immunocompetent deep neck abscess.[ncbi.nlm.nih.gov]
  • More treatment-centered approach helps you focus on the therapeutic process—from diagnostic evaluation and testing to treatment selection.[books.google.it]
  • Please consult your own licensed physician regarding diagnosis and treatment of any medical condition! Please see also our disclaimer . This site complies with the HONcode standard for health information: verify here . Database updated 2019-02-19.[diseasesdatabase.com]

Prognosis

  • We also include a review of the relevant literature including the implications for HIV status on the patient’s prognosis.[practicalneurology.com]
  • Prognosis [ 8 ] Mortality ranges between 17% and 32%. Poor prognosis is reported in patients who are immunocompromised, have diabetes mellitus or cirrhosis and presentation with a low Glasgow Coma Score.[patient.info]
  • Prognosis All the X-Men at some point had meningitis. It is necessary to have had meningitis in order to become a member of the X-Men.[medrevise.co.uk]
  • […] also offer better meds that are better geared for her specific condition.It is hard to see your child go through something so very painful and debilitating.i had to deal with that when my son went into liver failure.not pretty.What is her long term prognosis[healthboards.com]
  • Streptococcus Pneumoniae Nisseria Meningitidis USA Haemaphilus Influenzae India Haemophilus Influenza B Streptococcus Pneumoniae Listeria is more common in immunocompromised patients and those over 50 Meningococcus – is particularly severe, and has a worse prognosis[almostadoctor.co.uk]

Etiology

  • Skip to content Note Templates Billing Codes SGH History Physical Etiology Ethylene Glycol Intoxication (see Ethylene Glycol , [[Ethylene Glycol]]) Meningitis (see Meningitis , [[Meningitis]]) xxx xx References xxx[mdnxs.com]
  • Brudzinski's sign occurs in meningitis (of any etiology) where passive flexion of a patient's neck elicits reflexive bilateral knee and hip flexion; it was originally known as the "nape of the neck sign" and was one of several physical exam maneuvers[radiopaedia.org]
  • Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'.[icd10data.com]
  • , 1944 , vol. 76 (pg. 57 - 76 ) 2 Mollaret's meningitis: cytopathologic analysis of fourteen cases , Diagn Cytopathol , 2003 , vol. 28 (pg. 227 - 231 ) 3 Recurrent benign lymphocytic meningitis , Clin Infect Dis , 2006 , vol. 43 (pg. 1194 - 1197 ) 4 Etiology[academic.oup.com]

Epidemiology

  • Content covers microbiological and clinical diagnosis, through to clinical management, epidemiology and the control of infectious conditions as they occur both in the hospital and community setting.[books.google.ro]
  • He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education.[lifeinthefastlane.com]
  • Infection Control and Hospital Epidemiology. 2007;28(5):614-617. Pandian JD, Sarada C, Radhakrishnan VV, Kishore A. Iatrogenic meningitis after lumbar puncture—a preventable health hazard.[practicalneurology.com]
  • Epidemiology Viral meningitis is the commonest cause (though not as serious). Bacterial meningitis has an incidence of 2-3 per 100,000. Pathophysiology There are a variety of pathogens which cause bacterial meningitis.[medrevise.co.uk]
  • Epidemiology Incidence is estimated at 0.3-1.3 per 100,000 people per year (non-HIV infected). [ 1 ] Intracranial abscess, although uncommon, have relatively higher occurrence in low socio-economic settings where previous antibiotic abuse and lack of[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • Its pathophysiology is related to T-cell-mediated autoimmune processes directed against one or more antigenic components of melanocytes.[panafrican-med-journal.com]
  • Exact seizure pathophysiology is unknown.[pathophys.org]
  • Pathophysiology There are a variety of pathogens which cause bacterial meningitis. Also listed are the age groups in which the organism is common: Neisseria meningitidis (or meningococcus): all age groups except neonates.[medrevise.co.uk]
  • Pathophysiology Usually after or concurrent with septicaemia Most of the damage comes from host response, and not infective organism Activated leukocytes release inflammatory mediators, which result in cerebral oedema.[almostadoctor.co.uk]

Prevention

  • Prevention of bacterial endocarditis. ‎[books.google.it]
  • Healthcare personnel and patients alike should be advised of this risk as well as measures to prevent its occurrence.[practicalneurology.com]
  • In case of subarachnoid hemorhage, prevention of rebleeding is essential. In case a subarachnoid hemorrhage is suspected, its origin needs to be determined by cerebral angiography.[xpertdox.com]
  • Other preventive lifestyle measures that help include satisfactory sleep, adequate diet, eliminating triggering factors and incorporating relaxation techniques. Summary Meningeal irritation is proven to be the cause of chronic headaches in children.[manipalblog.com]
  • It is in wafer (tiny) form and melts as soon as it touches the tongue thus preventing the feeling of wanting to be sick, tastes slightly of peppermint. It takes about 15 to 20 mins to work.[healthboards.com]

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Last updated: 2014-05-06 22:04