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Viral Meningitis/Encephalitis
n/a
24
Medical
Graduate
10/15/2009

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Cards

Term
Parotiditis
Definition
Mumps
Term
Myalgia
Definition
Cocksackie
Term
Diarrhea
Definition
Enterovirus
Term
Characterisitcs of viral meningitis CSF profile
Definition
Normal to high opening pressure, low cellularity but high lymphocytes, normal glucose, normal to slightly high protein, negative gram stain
Term
Common viral causes of meningitis
Definition
Enterovirus (cocksackie, echovirus), HSV, arbovirus, HIV
Term
Less common viral causes of meningitis
Definition
varicella, EBV, lymphocytic choriomeningitis, mumps
Term
Most common cause of viral meningitis
Definition
Enterovirus
Term
Mollaret's meningitis
Definition
Recurrent inflammation of the meninges
Term
Enterovirus diagnosis and treatment
Definition
CSF PCR / supportive and IVIG if agammaglobulinemic
Term
Diagnosis and treatment for HSV-2
Definition
CSF PCR / acyclovir
Term
Diagosis and treatment of HIV meningitis
Definition
CSF or blood PCR / ARVs
Term
Encephalitis
Definition
triad of meningitis + weakness, AMS and seizure
Term
Pathology seen in viral encephalitis
Definition
Inclusion bodies, microglial nodules, gross hemorrhage/swelling/necrosis, lymphocytic infiltration
Term
Common causes of viral encephalitis
Definition
HSV, Arbovirus (West Nile, La Crosse), St Louis encephalitis, Japanese encephalitis
Term
Less common causes of viral encephalitis
Definition
Rabies, certain types of arbovirus, CMV, enterovirus, mumps
Term
Neonatal HSV encephalitis
Definition
Brain liquefication and 100% mortality
Term
Diagnosis of HSVE
Definition
CSF analysis (WBC 50-500, lymphocytes, elevated protein, normal glucose), PCR*, brain biopsy
Term
Arbovirus
Definition
Flaviridiae (Japanese, St Louis, West Nile), togaviridiae (equine), bunyaviridiae (La Crosse)
Term
Common characteristic of WNV
Definition
Asymptomatic seroconversion (80%)
Term
Eastern equine encephalitis
Definition
US Atlantic/Gulf coasts, June to October, biphasic age distribution, seizures and focal signs, IgM in CSF with high WBC count, high mortality
Term
Western equine encephalitis
Definition
Western/Midwestern US in infants, much less deadly, similar to EEE presentation
Term
St. Louis Encephalitis
Definition
south, central US, Canada, Caribbean, June - August, birds are the animal host, GU complaints of dysuria, urgency, frequency, hematuria and incontinence, mortality is moderate
Term
California serogroup encephalitis (includes LaCrosse)
Definition
US midwest and northeast most affected, carried by bunnies, seizure presentation but does not affect elderly, june to septempber, mortality is low
Term
Japanese encephalitis
Definition
Similar to West Nile but occurs in Asia; most US cases are military personnel
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