vyseerx
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4 years old male child was brought with complaints of headache and seizures. seizures were sudden in onset, generalised tonic clonic seizures and assoicated with incontinence. on examination, patient was febrile,103F ,and has neck rigidity. brudzinski sign was postive. a diagnosis of meningitis was made and physician wanted to prevent sequelae of meningitis in this child. what the causative agent for the child, in which steroids are classically used to prevent sequelae?
a.streptococcus pneumoniae
b.haemophilus influenzae
c.group B stereptococcus
d.neisseria meningitidis
e.enterovirus
f.st.leuis virus
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| alice8
Forum Guru
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b.haemophilus influenzae
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| meg
Forum Guru
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steroids are mainly indicated to avoid non-communicating hydrocephalus.. to prevent adhesions forming at the foramen of Magendie, Luschka or other places in the CSF flow. I know that neural involvement of TB can be real bad and steroids are indicated. Since, it is not listed, I am not sure which one to select :?
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| vyseerx
Forum Guru
Topics: 165
Posts: 378
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STEROIDS ARE INDICATED IN HEAMOPHILUS INFLUENZAE meningitis. to prevent complication. TUBERCULOUS MENINGITIS which is very common in INDIANSUBCONTINENT, is indeed treated with ATT along with STEROIDS. inthis vignette the answer is clear. heamophilus influenzae.
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