List THREE important bacterial causes of community-acquired meningitis in adults (only your first three will be assessed). For each organism, explain why it is likely or unlikely to be the pathogen in this patient. B.    State three specimens would you send as part of the microbiological investigation of this patient and the investigations you would request on each specimen. Describe the results you would expect to confirm your diagnosis of bacterial meningitis. C.    Explain why this patient was at risk of bacterial meningitis

Microbiology for Surgical Technologists (MindTap Course List)
2nd Edition
ISBN:9781111306663
Author:Margaret Rodriguez, Paul Price
Publisher:Margaret Rodriguez, Paul Price
Chapter8: The Empire Of Viruses
Section: Chapter Questions
Problem 4UTM
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2. A 25-year-old male is admitted with a 24-hour history of severe headache, nausea and vomiting. On examination, he has a temperature of 39°C, a heart rate of 110 bpm and his blood pressure is 90/70 mmHg. There is no evidence of skin rashes. He has neck stiffness and photophobia but no localising neurological signs.  Bacterial meningitis is suspected.
 He had a splenectomy 6 months ago following a road traffic accident but otherwise has no past medical history of note.  He is not on any regular medication.  He has had no known contact with anyone with meningitis.
 A.    List THREE important bacterial causes of community-acquired meningitis in adults (only your first three will be assessed). For each organism, explain why it is likely or unlikely to be the pathogen in this patient.
B.    State three specimens would you send as part of the microbiological investigation of this patient and the investigations you would request on each specimen.
Describe the results you would expect to confirm your diagnosis of bacterial meningitis.
C.    Explain why this patient was at risk of bacterial meningitis and discuss the measures that could have been taken to prevent it..

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