Acute Bacterial and Viral Meningitis

@article{Bartt2012AcuteBA,
  title={Acute Bacterial and Viral Meningitis},
  author={R. Bartt},
  journal={Continuum: Lifelong Learning in Neurology},
  year={2012},
  volume={18},
  pages={1255–1270}
}
  • R. Bartt
  • Published 2012
  • Medicine
  • Continuum: Lifelong Learning in Neurology
Purpose of Review: Most cases of acute meningitis are infectious and result from a potentially wide range of bacterial and viral pathogens. The organized approach to the patient with suspected meningitis enables the prompt administration of antibiotics, possibly corticosteroids, and diagnostic testing with neuroimaging and spinal fluid analysis. Recent Findings: Acute meningitis is infectious in most cases and caused by a potentially wide range of bacterial and viral pathogens. Shifts in the… Expand
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28 Citations
Highly Influential Citations
3
Background Citations
9
Results Citations
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28 Citations

Citation Type

Citation Type

Viral Meningitis
TLDR
The case reviewed in this article focuses on viral meningitis in a pediatric patient that may be unrecognized or underreported because of indistinct symptoms. Expand
Bacterial, Fungal, and Parasitic Infections of the Central Nervous System: Radiologic-Pathologic Correlation and Historical Perspectives.
  • Robert Y Shih, K. Koeller
  • Medicine
  • Radiographics : a review publication of the Radiological Society of North America, Inc
  • 2015
TLDR
The objective of this article is to highlight the characteristic neuroimaging manifestations of bacterial, fungal, and parasitic diseases, with emphasis on radiologic-pathologic correlation and historical perspectives. Expand
Combined therapy of pediatric bacterial meningitis with the use of corticosteroids and antibacterials: a bibliographical review
TLDR
There is a need for a larger number of studies to evaluate the efficacy of corticosteroids  in the therapy of this infection and its action on other etiological agents, that is, the therapy should be broad-spectrum; not only for Haemophilus influenzae type B. Expand
High-throughput sequencing for the aetiologic identification of viral encephalitis, meningoencephalitis, and meningitis. A narrative review and clinical appraisal
TLDR
Evaluating the contribution and pitfalls of HTS for the aetiologic identification of viral encephalitis, meningoencephalitis, and meningitis in CNS patient samples concluded that HTS should be considered early in clinical management as a complement to routine assays. Expand
Bacterial meningitis: An update review
TLDR
The objective of this review is to provide the health care professionals with an update of reference for bacterial meningitis diagnosis and treatment and the various types of vaccines and the empirical chemoprophylaxis treatment are reviewed. Expand
Meningitis in Children: Diagnosis and Treatment for the Emergency Clinician
TLDR
It is very important to maintain a high index of suspicion and a low threshold for evaluation of meningitis in febrile young infants younger than 3 months. Expand
Steroids in neuroinfection.
  • R. Abraham
  • Medicine
  • Arquivos de neuro-psiquiatria
  • 2013
TLDR
Despite the evidence favoring the use of steroids in herpes simplex encephalitis, it is not sufficient to definitely support such indication, and steroids are safe to use, but no definite benefit could be demonstrated in both conditions. Expand
The Association between Cerebrospinal Fluid Pleocytosis and Clinical Manifestations of Enteroviral Meningitis in Children
TLDR
A high proportion of non-pleocytic enteroviral meningitis in children is demonstrated, and several clinical manifestations that were associated with CSF pleocytosis are identified. Expand
Utility of molecular diagnostic method compared with conventional methods in detection of etiologic agents of central nervous system infections in Rwanda
TLDR
Increased capacity for detection of bacterial and viral causative agents of Central Nervous System (CNS) infections using RT multiplex PCR compared with conventional methods is shown. Expand
The challenge of treating central nervous system infections.
TLDR
CNS infections are of special concern to clinicians in developing countries, as they are commoner and produce more deaths and disability in these regions and early treatment is imperative. Expand
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References

SHOWING 1-10 OF 19 REFERENCES
Epidemiology, Diagnosis, and Antimicrobial Treatment of Acute Bacterial Meningitis
TLDR
The changing epidemiology of bacterial meningitis in the United States and throughout the world is described by reviewing the global changes in etiological agents followed by specific microorganism data on the impact of the development and widespread use of conjugate vaccines. Expand
Viral meningitis.
  • K. R. Ratzan
  • Medicine
  • The Medical clinics of North America
  • 1985
TLDR
The identification of a specific viral agent in body fluids, especially the CSF, in a patient with aseptic meningitis is of more than academic interest, since it can shorten duration of hospital stay and eliminate unnecessary antimicrobial therapy. Expand
Community-Acquired Bacterial Meningitis: Risk Stratification for Adverse Clinical Outcome and Effect of Antibiotic Timing
TLDR
A prognostic model was developed that stratified patients into three levels of risk (low, intermediate, and high) for adverse clinical outcome and the prediction accuracy of the prognosticmodel was assessed. Expand
Dexamethasone in adults with bacterial meningitis
TLDR
A prospective, randomized, double-blind, multicenter trial of adjuvant treatment with dexamethasone, as compared with placebo, in adults with acute bacterial meningitis. Expand
Clinical features and prognostic factors in adults with bacterial meningitis.
TLDR
The mortality associated with bacterial meningitis remains high, and the strongest risk factors for an unfavorable outcome are those that are indicative of systemic compromise, a low level of consciousness, and infection with S. pneumoniae. Expand
Lumbar puncture in pediatric bacterial meningitis: defining the time interval for recovery of cerebrospinal fluid pathogens after parenteral antibiotic pretreatment.
TLDR
It is demonstrated that CSF sterilization may occur more rapidly after initiation of parenteral antibiotics than previously suggested, with complete sterilization of meningococcus within 2 hours and the beginning of sterilizing of pneumococcus by 4 hours into therapy. Expand
Bacterial meningitis in the United States in 1995. Active Surveillance Team.
TLDR
Bacterial meningitis in the United States is now a disease predominantly of adults rather than of infants and young children, largely as a result of a 94 percent reduction in the number of cases of H. influenzaeMeningitis due to vaccine-related decline. Expand
Bacterial meningitis in the United States, 1998-2007.
TLDR
The rates of bacterial meningitis have decreased since 1998, but the disease still often results in death, and the burden of bacterialMeningitis is now borne more by older adults. Expand
Bacterial meningitis in the United States, 1986: report of a multistate surveillance study. The Bacterial Meningitis Study Group.
TLDR
A prospective, laboratory-based surveillance project obtained accurate data on meningitis in a population of 34 million people during 1986, suggesting that improvements in early detection and antibiotic treatment may have occurred since that time. Expand
Pneumococcal meningitis in adults: spectrum of complications and prognostic factors in a series of 87 cases.
TLDR
A haematogenous pathogenesis seemed likely in asplenic patients, while contiguous spread from sinusitis or otitis was the major cause of meningitis in non-asplenic individuals, while age > or =60 years was associated with a higher mortality and the GOS of the survivors was comparable to that of the surviving younger patients. Expand
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