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I: microbial diseases of the nervous system (NEISSERIA MENINGITIDIS, STREPTOCOCCUS PNEUMONIAE)
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meninges
membranes that cover the brain and spinal cord (dura, arachnoid, pia mater)
csf
found between arachnoid + pia mater
→ spinal taps are preformed here
blood-brain barrier
some substances can pass from blood to brain
meningitis
inflammation of the meninges
encephalitis
inflammation of the brainm
meningoencephalitis
inflammation of the brain + meninges
fever, headache, ____ ____, _______, vomiting, _______, coma, and death are symptoms of what?
fever, headache, stiff neck, nausea, vomiting, convulsions, coma, and death → meningoencephalitis
what are the microbes that cause bacterial meningitis?
neiserria meningitidis/meningococcal meningitis
streptococcus pneumoniae/pneumococcal meningitis
haemophilus influenzae type b/influenzal meningitis
group b streptococcus/GBS
listeria monocytogenes
neiserria __________/___________ meningitis causes bacterial meningitis
neiserria meningitidis/meningococcal meningitis
streptococcus _______/_________ meningitis causes bacterial meningitis
streptococcus pneumoniae/pneumococcal meningitis
__________ influenzae type __ causes bacterial meningitis
haemophilus influenzae type b
group __ streptococcus/GBS causes bacterial meningitis
group b streptococcus/GBS
listeria _________ causes bacterial meningitis
listeria monocytogenes
neiserria meningitidis causes what disease of the nervous system?
bacterial meningitis
what microbe causes meningococcal meningitis?
neisseria meningitidis
what % of people carry neiserria meningitidis in their nose and throat?
40%
the symptoms of meningococcal meningitis are due to what?
an endotoxin that is produced rapidly. it causes a rash that DOES NOT FADE and death can happen within hours
what are the symptoms of meningococcal meningitis?
rash that does not fade
death within hoursfever, headache, stiff neck, sensitivity to light, and nausea.
what is the mortality rate of meningococcal meningitis when untreated?
80%
what is the mortality rate of meningococcal meningitis treated with antibiotics?
9-12%
what population is most affected by meningococcal meningitis?
young adults
those that have experienced head injuries (microbe lodges past the blood brain barrier)
is there a vaccine available for meningococcal meningitis?
yes → only for types A, C, Y, W-135
pneumococcal meningitis is caused by what microbe?
streptococcus pneumoniae
what is the leading cause of meningitis in the U.S.?
pneumococcal meningitis
what % of people carry streptococcus pneumoniae in the nasopharyngeal area of the body?
70%
pneumococcal meningitis has a high mortality rate of __% in adults
22%
what population is most affected by pneumcoccal meningitis?
polder adults
children
pneumococcal meningitis has a high mortality rate of __8% in children
8%
why is streptococcus pneumoniae virulent?
it has a capsule which allows it to resist host defenses
streptococcus pneumoniae affects children in what age ranges?
1 month → 4 years old
is there a vaccine for pneumococcal meningitis?
yes → available for infants and older adults