chemamr
Moderator and PGY2
Topics: 703
Posts: 4,442
|
A newborn has a clinical presentation that looks like meningitis, you have a great suspicion and perform a LP and other tests and arrive to a Dx of Bacterial meningitis by N. meningitidis.
What to do you need to do other than take care of the child?? And which are the alternative drugs for that? 
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
| ARJ
Forum Guru
Topics: 133
Posts: 792
|
Neuroimaging with CT scan or MRI to find any focal areas of infection..
Should Monitor for cerebral edema, hydrocephalus, hemorrhage, ventriculitis
Aggressive antimicrobial intervention is lifesaving in neonates with suspected meningitis.
Lumbar puncture should be repeated 24-36 hours after the initial study to monitor the course of the infection and guide further treatment decisions
___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi
|
| chemamr
Moderator and PGY2
Topics: 703
Posts: 4,442
|
very good ARJ.
what about the close contacts? (and alternat. drugs) ?
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
| ARJ
Forum Guru
Topics: 133
Posts: 792
|
For patient start with Penicillin and if not responding then change to ceftriaxone
Antibiotics used for contacts are rifampin, ciprofloxacin, or ceftriaxone.
___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi
|
| chemamr
Moderator and PGY2
Topics: 703
Posts: 4,442
|
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
|
| |
| | | | | |
