Central Nervous System Infections

Richard Basilan Key Points

• Bacterial meningitis is life threatening and requires urgent medical attention and treatment.

• Viral encephalitis should be treated with acyclovir until herpes simplex virus is ruled out.

• Most brain abscesses are caused by streptococci and Staphylococcus aureus.

• The CNS infections most likely to be encountered in clinical practice include meningitis, encephalitis, and abscess.

• All CNS infections can be difficult to diagnose, and a high index of suspicion by the health care provider is sometimes indicated to ensure patient survival.

• MRI is the most sensitive neuroimaging test for encephalitis.

• Acyclovir should be started immediately and continued until HSV PCR testing is obtained.

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Soccer Fitness 101

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