Episode 68 -- Emergency Department Management of Adults With Infectious Meningitis and Encephalitis – An Interview with Dr. Andrew Hogan

EMplify -- April 2022

Interview with the Author: Andrew N. Hogan, MD

1.Meningitis vs encephalitis

2.Bacterial meningitis

How common is it in the US? Is it more common in third world countries?
Mortality rate in the US
Causes – if Neisseria and H influenzae improved post vaccination, why not S pneumoniae disease ? (Table 1)

3.Viral meningitis

4.Viral encephalitis

5.Fungal infections

6.Prehospital care:

7.ED evaluation: History

8.ED evaluation: Physical exam

9.Diagnostics: CSF

What's large volume? Is it safe?
Cell counts on tubes 1+4, all the time or only if traumatic and obviously bloody?
Is opening pressure helpful?
CSF lactate level – can this be run in a normal lactic acid analyzer?
PCR/NAAT testing

10.Serum labs

11.Imaging

12.Treatment

13.Special populations

14.Cutting edge

15.Disposition

Episode 68 -- Meningitis and Encephalitis – An Interview with Dr. Andrew Hogan

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