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Sumario Resumen-meningitis
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Resumen detallado de meningitis
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M EN I NGI T IS→Etiología
-S. pneumonias.
-N.meningitidis (Da rash cutáneo).
-Lysteria monocytogenes.
-E.coli
Factor de riesgo
●Edad avanzada, ●DM tipo 2, ●tabaquismo,●Alcoholismo, ●Rinorrea de LCR
posterior a trauma de base de cráneo.
●pacientes con neumonía, OMA o sinusitis aguda.
Cuadro Clínico.
-Cefalea (87%)
-Rigidez de cuello (83%)
-Fiebre >38°c (77%)
→Triada:Fiebre+Rigidez del cuello+Alteración del edo mental.
Diagnóstico
-Punción lumbar.
Pruebas diagnósticas complementarias:
-Pcr sérica (hacer en duda diagnóstica de meningitis viral).
-Procalcitonina serica (>2 ng/ml): Para diagnóstico diferencial entre viral y
bacteriana.
-Reacción de cadena de polimerasa: Realizar en pacientes con tinción de LCR
negativo y con sospecha clínica.
Tratamiento.
Dar dexametasona 0.15 mg/kg c/6 hrs por 2-4 días, 10-20 min antes (o de
manera conjunta con la primera dosis de ATB) del antibiótico a pacientes con
Meningitis Neumococcica.
-Neumocócica: Cefalosporina 3° generación.
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