Meningitis Teuberculous and

Meningitis Bacterial
 Etiology
Purulent meningitis Serous meningitis
(Bacterial meningitis) (Aseptic meningitis).
Non-specific bacteria:
Mycobacterium tuberculosis.
Diplococcus pneumoniae Virus (herpes simplex and herpes
(pneumococcal) zoster), Toxoplasma gondhii and
Neisseria meningitis (meningokok) rickets.
haemolyticuss streptococcus
Staphylococcus aureus
Haemophilus influenzae
Escherichia coli
Klebsiella pneumoniae
Peudomonas aeruginosa
 Clinical symptoms
and physical examination
Bacterial
Meningitis
a.Acute or chronic directly
b. High body temperature, severe
headache radiating to the nape
c. Pulse slowed and then quickly
d. Consciousness began to decline
from delirium to coma
e. On neurological examination
found signs meningealkaku
cervical stimulation (+)) and can
also be found nerve palsy
f. Kernig sign (+)
g. Signs Brudzinski I and II (+)
Tuberculous
meningitis
a. Apathetic
b. Pupillary slow
c. Tendon reflexes limp
d. Often accompanied by seizures
e. On neurological examination
found signs meningealkaku
cervical stimulation (+)) and can
also be found nerve palsy
f. Kernig sign (+)
g. Signs Brudzinski I and II (+)
 Laboratory
Bacterial Tuberculous
Meningitis meningitis
1. The number of PMN> MN 1. The number MN> PMN (10-
(1000-200ml) 350ml)
2. Color opalescent cloudy / 2. Color opalescent clear / not
yellowish turbid
3. glucose levels (<70mg / dl) 3. glucose levels (<50 mg / dl)
4. Levels of chloride (<650mg / 4. Levels of chloride (<500mg /
dl) dl)
5. In TB meningitis: LED
increases
 Supporting investigation
Bacterial
Meningitis
CSS analysis of lumbar
function:
pressure is increased, liquid
cloudy / foggy, white blood
cell count and increased
protein glucose increases,
positive culture against some
types of bacteria
LDH serum: rising
Leukocyte: increased
neutrophil
Tuberculous
meningitis
CSS analysis of lumbar
function:
pressure varies, CSS
usually clear liquid, white
blood cells, glucose and
protein are usually normal,
the culture is usually
negative, viral culture,
usually with a special
procedure
Treatments
 prognosis

Bacterial Tuberculous
Meningitis meningitis

Dubia ad Bonam Dubia ad Malam