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Memory Check 6: Meningitis and Encephalitis
Site
Infectious Agents
Lesion
Manifestations
CSF
MemChk.Neuro.6.MdP
Bacterial Meningitis
Pia mater, arachnoid,
subarachnoid space,
CSF, ventricles
Neisseria,
pneumococci,
haemophilus
Aseptic Meningitis
Meninges
Encephalitis
Meninges, white and
gray matter
Enteroviral viruses,
herpes simplex1
Meningeal vessels
become hyperemic
and permeable
Throbbing headache,
flexion of legs and
thighs, stiff neck
projectile vomiting,
confusion
Increased pressure,
bacteria, elevated
protein levels,
decreased glucose
levels, neutrophils and
monocytes
Similar to bacterial
Arthropod-borne
viruses, herpes
simplex1,
complications of
systemic viral
infection
Nerve cell
degeneration
Mild but similar
symptoms compared
with bacterial
meningitis
Increased pressure,
normal glucose levels,
lymphocytes
Fever, delirium,
confusion, coma,
seizure, cranial nerve
palsies, paresis and
paralysis
Same as aseptic
meningitis
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