meningites - neurofeparneurofepar.com/meningites.pdf · suspeita de meningite bacteriana ?...

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Meningite Polimorfonucleares Mononucleares Glicose

Bacteriana Aguda ++++ ++ !

Bacteriana Subaguda† ++ ++ !

Fúngica Crônica†† +/- ++ !

Viral +/- +++ Normal

† Meningite Tuberculosa, Listeria monocytogenes

†† Cryptococcus neoformans

o#)78%*.#73(%7)$*p*Suspeita de meningite bacteriana ?

Imunocomprometido, história de doença do SNC, papilledema,

déficit neurológico focal, dificuldade em realizar punção lombar

Hemoculturas, punção lombar

Antibiótico empírico

Líquor com achados de meningite

Continuidade do tratamento

Hemoculturas

Antibiótico empírico

Tomografia computadorizada

Punção lombar

Não

Sim

Sim

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Schuchat, A. et al. N Engl J Med 1997;337:970-976

Agente Patogênico e Faixa Etária

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