Management of Acute, Recurrent, and Chronic Meningitides in Adults

被引:6
作者
Cho, Tracey A. [1 ,2 ]
Venna, Nagagopal [1 ,2 ]
机构
[1] Massachusetts Gen Hosp, Neurol Infect Dis Sect, Dept Neurol, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
关键词
Meningitis; Bacterial; Viral; Aseptic; Chronic; Management; CENTRAL-NERVOUS-SYSTEM; CEREBROSPINAL-FLUID CYTOLOGY; CLINICAL-PRACTICE GUIDELINES; INFECTIOUS-DISEASES-SOCIETY; C-REACTIVE PROTEIN; TUBERCULOUS MENINGITIS; BACTERIAL-MENINGITIS; MOLLARETS MENINGITIS; LYME-DISEASE; LEPTOMENINGEAL METASTASES;
D O I
10.1016/j.ncl.2010.03.023
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Meningitis (inflammation of the pia, arachnoid, and sometimes dura) has diverse causes and presentations. Although viruses are the most common cause of acute meningitis, bacterial meningitides are more severe and important to exclude because morbidity and mortality are high. Chronic meningitis has a broader range of causes, including atypical bacteria, fungi, and noninfectious causes. Presentation is more insidious but, if untreated, significant damage or death may ensue. Recurrent meningitis has many of the same causes as chronic meningitis, but manifestations occur in discrete episodes. Distinguishing between acute, chronic, and recurrent meningitis is essential for proper diagnostic testing and treatment approaches.
引用
收藏
页码:1061 / +
页数:30
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