A three-year-old girl presents with headache and fever.
Her observations are weight 15 kg, GCS 14, pulse 180/min, BP 75/40 mmHg and temperature 39 degrees C.
You are concerned about the possibility of bacterial meningitis.
List three immediate treatments you would give, including doses or targets where relevant.
(Marked out of 3.0)
/ 3
A lumbar puncture has been performed. The results are shown below.
| CSF parameter |
Result |
Reference range |
| WBC |
1220 /uL |
<5 /uL |
| Polymorphs |
95% |
|
| Mononuclear cells |
5% |
|
| RBC |
40 /uL |
<5 /uL |
| Glucose |
1.1 mmol/L |
2.5-4.4 mmol/L |
| Protein |
312 mg/dL |
<40 mg/dL |
Give the most likely diagnosis.
(Marked out of 1.0)
/ 1
List two CSF features that support your diagnosis.
(Marked out of 2.0)
/ 2
List three likely causative organisms.
(Marked out of 3.0)
/ 3
List three microbiological tests that may identify the organism.
(Marked out of 3.0)
/ 3
Total Score: 0 / 12
Percentage: 0%
Comments are closed for this SAQ.