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Meningues
the three layers of membranes that protect the brain and spinal cord goes by dura → arachnoid → pia
Meningitis
inflamation of the meninges
Encephalitis
inflammation of the brain
Meningoencephalitis
inflamation of both brain and meninges
viral meningitis
more common than the bacterial version but less severe usually caused by enteroviruses.
Haemophilus influenzae Meningitis
gram negative aerobic bacteria/ occurs mostly in chilgren and has a capsule that is pathogenic causes pneumonia and ear infections.
Neisseria meningitis
gram negative aerobic cocci with a capsule/ spread by droplet aerosol/ begins as throat infections, rash/ antibiotic treatment mortality rate is 9-12%
Streptococcus pneumoniae Meningitis
Gram positive diplococcus/ causes pneumonia and ear infections/ treatable with antibiotics.
Listeriosis
Gram positive aerobic rod/ usually foodborne/ can be transmitted to fetus through placenta/ reproduction in phagocytes/
Hansens diesease
Acid fast rod caused by Mycobacterium leprae/ transmission through prolonged contact
Botulism
Gram positive, endospore forming, obligate anaerobe/ comes from ingestion and causes muscle paralysis caused by the toxin.
Tetanus
gram positive, endospore forming obligate anaerobe/ Tetanospasmin neurotoxin is released from dead cells that enter the CNS death comes from spasms of respiratory muscles. prevented by vaccination with mortality 25-50%
Poliomyelitis
+ ssRNA virus /Spread through the fecal oral route/ mild cold like symptoms/ prevented by immunization with either live or killed vaccines.
Arboviral Encephalitis
Virus thats carried by arthropods/ causes chills headaches, fevers which can lead to coma and death.
Zika Virus Disease
Transmitted through infected Aedes Mosquito/ can also be transmitted vertically or through blood transfusion or sex. 20% of infecred are mild symptoms, can cause microcephaly in infants. diagnosed with reverse transcriptase PCR
Cryptococcus neoformans Meningitis
Soil fungus associated with pigeon and chicken droppings and are a yeast like fungus with a thick capsule. transmitted by the respiratory route and goes to CNS/ Mortality is up to 30% / treatment with amphotericin B and flucytosine
African trpanosomiasis
Comes from the bite tsetse fly and causes interstitial inflammation and necrosis of lymph nodes, small blood vessels of brain and heart leading to death and lethargy in 1-3 yrs. Vaccination isn’t possible due to antigenic variation
Eflornithine
Very effective (crosses blood-brain Barrier, inhibits facial hair)
Melarsoprol
Highly toxic
Amebic Meningoencephalitis
caused by Naegleria fowleri and usually infects children in warm fresh water ponds/ streams. infects nasal mucosa then spreads to CNS near 100% mortality with no effective treatment.