Meningitis Review: CSF Patterns and Listeria Risk | Part 2 | 感染 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字；遇到過度簡化或舊門檻，請搭配下方提示與原始資料閱讀。這是概念學習材料，不替代個別醫療評估。

Lyrics · 完整歌詞

All low-glucose cerebrospinal fluid means bacteria, mycobacteria or fungi,
whereas viral meningitis keeps glucose normal.
Is the patient a neonate, over fifty, pregnant or immunocompromised?
Then add ampicillin for Listeria, which cephalosporins never cover.
On suspicion of bacterial meningitis, take blood cultures,
give dexamethasone with the first antibiotic dose,
and never delay treatment for imaging or lumbar puncture.
Lumbar puncture in suspected herpes encephalitis may be falsely negative within seventy-two hours,
so aciclovir starts on suspicion and continues until the diagnosis is excluded.

All low-glucose cerebrospinal fluid means bacteria, mycobacteria or fungi,
whereas viral meningitis keeps glucose normal.
Is the patient a neonate, over fifty, pregnant or immunocompromised?
Then add ampicillin for Listeria, which cephalosporins never cover.
On suspicion of bacterial meningitis, take blood cultures,
give dexamethasone with the first antibiotic dose,
and never delay treatment for imaging or lumbar puncture.
Lumbar puncture in suspected herpes encephalitis may be falsely negative within seventy-two hours,
so aciclovir starts on suspicion and continues until the diagnosis is excluded.

Medical Notes · 醫學學習提示

  1. 低 CSF 糖不限感染；細菌、結核、真菌皆須考慮
  2. 病毒多為正常糖，但有例外；正常也不能排除細菌
  3. 李斯特菌風險依年齡、孕期與免疫狀態判斷
  4. 高風險加 ampicillin；新生兒另依專用療程
  5. 迅速採血培養；勿因採檢延誤抗生素
  6. 適用者首劑前或同時給 dexamethasone
  7. 先穩定並治療；影像或腰穿不能造成延誤
  8. 指 CSF HSV PCR 可早期偽陰性，不是腰穿本身
  9. 疑 HSV 即給靜脈 aciclovir；高疑慮 3–7 天重驗

References