neurology/micro - nobegod027

[ArchivalUser]

A 3-year-old boy presents to the pediatric emergency department with his mother. The mother explains that her son has been “burning up” and complaining that his head hurts. On physical examination he displays photophobia, and cervical stiffness is noted. Lumbar puncture and cerebrospinal fluid analysis shows an increase in polymorphonuclear cells, an increased protein level, and a decreased glucose level.Which of the following is the most common pathogen responsible for this patient’s clinical picture?

A.... ENTEROVIRUS
B....H . INFLUENZA TYPE B
C... HERPES SIMPLEX VIRUS
D....LISTERIA SPECIES
E....N. MENINGITIDIS
F.... STREP PNEUMO

[ArchivalUser]

fff

[ArchivalUser]

I always in dilemma to pick in b/n s.pneum and N.mening.As per goljan audio lectures 6mo-18yr it z N.menin,as per uworld it z strep.Pneumoniae.So anyoneone can clear me on this.

[ArchivalUser]

Originally Posted by harith
This is clearly mentioned in First Aid and Kaplan:

Newborns:
1- GBS
2- E.coli
3- listeria
Children less than 6 years:
1- strep pneumoniae
2- neisseria
3- h influenzae
4- enteroviruses
6 years to 60 years:
1- neisseria meningitidis
2- enteroviruses
3- strep pneumoniae
4- HSV
Over 60 years:
1- strep pneumoniae
2- listeria

[ArchivalUser]

D.

[ArchivalUser]

ffff is right

[ArchivalUser]

A... polio?

[ArchivalUser]

@ mariam this a case of bacteria meningitis and considering the age of the patient , the most comon cause of bacteria meningistis in this age group is strep pneumo

[ArchivalUser]

thanks