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Meningitis is a condition which causes inflammation of the membranes which surround the brain and spinal cord which usually happens due to the spread of an infection. As stated Meningitis can be caused because of viral infection but it can also be caused because of bacterial infection. Viral Meningitis – Viral Meningitis are usually mild and often disappear of its own within one or two weeks.
Bacterial Meningitis – Bacterial Meningitis commonly occurs when bacteria after entering in blood stream reaches brain and spinal cord. Fungal Meningitis – This type of Meningitis is relatively rare and it can lead to chronic meningitis. The other factors which can lead to Meningitis are drug allergies, cancer and inflammatory diseases like lupus. The initial symptoms of Meningitis are usually mistaken for flu however the symptoms of Meningitis develop in several hours or one or two days in children above age of 2.
The doctors can check medical history of the person and can also go for a physical examination and certain tests. The treatment of Meningitis depends upon the type of Meningitis a patient is suffering from. To report a patient who had previous unilateral herpes zoster ophthalmicus presenting with contralateral ocular involvement. A 47 year-old woman presented with a unilateral, painful, red eye preceded by a painful rash over her contralateral forehead and nose.
We propose a careful ophthalmic examination in both eyes in patients with herpes zoster ophthalmicus in view of the possibility of contralateral eye involvement.
Contralateral, Herpes Zoster Ophthalmicus, KeratouveitistopIntroductionInvolvement of the ophthalmic branch of trigeminal nerve by herpes zoster can cause various ocular complications.
At presentation, there was a facial scar on the right forehead and the tip of nose corresponding to the dermatomal distribution of the ophthalmic division of the trigeminal nerve. The distribution of the facial scar was characteristic of herpes zoster ophthalmicus (HZO) with a possible relation to the left eye keratouveitis.
HZO differs from other types of herpes zoster because of the likely involvement of the globe itself as opposed to herpes zoster in other dermatomes which is typically limited to localized cutaneous disease. The possible explanation for corneal involvement in our patient is direct cytopathic effect of the virus and corneal immune response to replicating viral particles.(1, 2) The pathogenesis, however, for contralateral ocular involvement is obscured.
Herpes simplex is a viral disease caused by both herpes simplex virus types 1 (HSV-1) and type 2 (HSV-2).
Oral herpes, the visible symptoms of which are colloquially called cold sores or fever blisters, infects the face and mouth.
Herpes simplex is most easily transmitted by direct contact with a lesion or the body fluid of an infected individual.
Herpes is a viral infection that affects the mouth, the face, the genitals, the skin, the buttocks, and the anal area. Herpes simplex type 1 causes cold sores and fever blisters in the mouth and the surrounding area. Herpes simplex type 2, also known as human herpes virus 1 (HHV-1), causes genital herpes, a sexually transmitted disease (STD). Both genital and oral herpes simplex types 1 and 2 are capable of causing systemic disease including encephalitis (infection of the brain) in someone who is immunodeficient.
HSV type 1: HSV1 primarily effects mouth, throat, face, eye, and central nervous system infections thus also called as oral herpes HSV2 primarily causes anogenital infections.
Oral sores: The most intense pain caused by these sores occurs at the onset and may make eating and drinking difficult.
The sores may occur on the lips, gums, throat, the front of the tongue, the inside of the cheeks, and the roof of the mouth.
People in their teens and 20s may develop a painful throat with shallow ulcers and a grayish coating on the tonsils. Signs of genital herpes tend to develop within three to seven days of skin-to-skin contact with an infected person. In women, the lesions may be visible outside the vagina, but they commonly occur inside the vagina where they can cause discomfort or vaginal discharge but cannot be seen except during a doctor's examination. The ulcers or blisters may also be found anywhere around the genitals (the perineum) and in and around the anus. The first genital herpes outbreak is usually the most painful, and the initial episode may last longer than later outbreaks.
Vaginal discharge Swollen and tender lymph nodes in the groin (these swell as the body tries to fight the infection). Recurrent Infection: By far the most common manifestation of herpes infections is a recurrence of the virus when it is reactivated from its latent state in the nerves below the skin. Erythema nodosum: It is a nonspecific skin reaction characterized by red and painful skin lumps that usually appear on the front side of the legs. A broad criterion of how the homoeopathic medicines act in cases of herpes is mentioned below. We at DRSS provide our patients with diet charts, exercise schedules and guide them how to modify their lifestyle so that better results can be achieved. Homoeopathic medicines if taken under proper guidance from a well-qualified professional are extremely safe and have no side effects. Meningitis Jerry Carley MSN, RN, CNE University of Southern Nevada Adult Health II Summer 2010 NURSE Adult Health II Neurological Diseases. Defined: …an inflammation of the arachnoid and pia mater of the brain and spinal cord and cerbrospinal fluid (CSF).

ACUTE PNEUMOCOCCAL AND MENINGOCOCCAL MENINGITIS Learning Objectives Introduction Epidemiology History and PresentationHistory and Presentation Examination. Prof Dr Meral Sonmezoglu Yeditepe University Hospital Acute and chronic meningitis, encephalitis III.
1 Tuberculous Meningitis CHCUMS DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY November 24th, 2004. V IRAL M ENINGITIS Learning Objectives Overview Causes of aseptic meningitisCauses of aseptic meningitis Epidemiology Clinical Features Investigations. Bacterial Meningitis in Children Dr Rajesh Kumar MD (PGI), DM (Neonatology) PGI, Chandigarh, India Rani Children Hospital, Ranchi. Neurologic System ? The spinal cord extends from the medulla oblongata to the lower border of the first lumber vertebrae. Meningitis ? Meningitis is inflammation of protective membranes that covering brain and spinal cord (meninges). Bacterial Meningitis ? The most common are group B streptococci during the 1st 2 mo of life ? H.
Spina Bifida ? Spinal bifida occulta ? Failure of vertebral arch to close, a dimple occurs on the sacral area, may be covered by a tuft of hair.
Spina Bifida: Prevention & Management ? Encourage folic acid 4mg Po with future pregnancies (conception-6 weeks) ? Primary intervention after birth of infant with meningocele & myelomeningocele is ? to cover defect with a sterile, saline-soaked dressing to prevent cracking in the sac thus decrease infection ? Prone position keeps pressure off the exposed sac ? Head circumference measurement is essential because hydrocephalus can develop in these infants. Herpes is a virus that causes eruption of small blister like vesicles on the skin or mucous membranes, especially herpes simplex or herpes zoster.
Herpes simplex viruses- more known as herpes, they are categorized in two types: herpes type 1 (HSV-1 or oral herpes) and herpes type 2 (HSV-2, or genital herpes). The genital herpes is caused by HSV-1, but most of the genital herpes are caused by herpes type 2. Herpes II is a sexually transmitted viral infection that can produce painful sores in the genital area. The health care providers can easily diagnose genital herpes by visual inspection if the outbreak is typical.
Antiviral medications can only prevent or shorten the outbreaks of the herpes, but only during the time when the person takes the medication.
However Bacterial Meningitis also occurs when bacteria directly invade the meanings due to skull fracture, sinus or ear infection. In case the patient is suffering from bacterial Meningitis than the patient can be given intravenous antibiotics and cortisone like medication in order to ensure recovery and reduction in the risk of complications. You accept that you are following any advice at your own risk and will properly research or consult healthcare professional.
Examination revealed a healed herpes zoster rash on the right forehead and tip of the nose associated with left eye keratouveitis. We report a patient who had unilateral herpes zoster ophthalmicus presenting to us with contralateral ocular involvement. Our patient might have had a bilateral HZO with insufficient dermal findings on the left side. Infection with the herpes virus is categorized into one of several distinct disorders based on the site of infection. Herpetic whitlow, herpes gladiatorum, ocular herpes (keratitis), cerebral herpes infection encephalitis, Mollaret's meningitis, neonatal herpes, and possibly Bell's palsy can all be caused by herpes simplex viruses.
Transmission may also occur through skin-to-skin contact during periods of asymptomatic shedding. However, after several years, some people will become perpetually asymptomatic and will no longer experience outbreaks, though they may still be contagious to others. A viral infection transmitted through intimate contact with the moist mucous linings of the genitals. Once inside the body, HSV-2 travels to nerve roots near the spinal cord and settles there permanently. Genital herpes infections look like small blisters or ulcers (round areas of broken skin) on the genitals. Many people with recurrent disease develop pain or a tingling sensation in the area of the infection even before any blisters or ulcers can be seen. Autoinoculation occurs most commonly at the time of primary infection, when viral shedding is high and the immune system is still gearing up to contain it. Homoeopathy follows an individualistic approach towards patients suffering from herpes we believe that every individual is different and thus a full in-depth case study is the first step. Homoeopathy with its natural medicinal substances used in small quantities cures herpes inside out.
Lumbar Puncture: -CSF for gross appearance, WBC’s, Glucose, pressure -Gram stain -Culture & Sensitivity 2. Introduction Bacterial meningitis is an inflammation of the leptomenings, usually causing by bacterial infection. Strange, MD, MA, FACEP Professor and Head Department of Emergency Medicine University of Illinois. It contains millions of nerve fibers, and it consists of cervical, thoracic, lumber, and sacral nerves ? Cerebrospinal fluid (CSF) forms in the lateral ventricles in the choroids plexus of the pia mater. Meninges consist of: dura mater, arachnoid, and pia mater covered by thin membrane ? No paralysis because spinal cord is not involved.
The group of viral diseases caused by the herpes viruses is affecting the skin or nervous system. Other disorders such as herpes whitlow, herpes gladiatorum, ocular herpes (keratitis), cerebral herpes infection encephalitis, Mollaret’s meningitis, neonatal herpes and possibly Bell’s palsy, they are all caused by the herpes simplex viruses.

The infected person with HSV-2 may have sores around the genitals or rectum, or HSV-2 can also occur in other locations such as below the waist. If the person is infected by a genital herpes, than this individual may carry the virus and be a subject to a recurrent bouts of infection. This type of virus shows minimal signs or patients may have no signs or symptoms from the HSV-1 or HVS-2 infection at all.
In most of the cases Meningitis is caused because of a viral infection however a fungal or bacterial infection can also lead to Meningitis.
Since the Meningitis caused by bacterial infections are more severe and can be life threatening thus it is utmost important to identify the cause of Meningitis in order to do effective treatment. The most common symptoms of viral Meningitis are diarrhoea, joint ache, sore throat and rash.La Crossevirus, westNilevirus, herpes and simplex virus can lead to viral Meningitis. In case the patient is suffering from Viral Meningitis the person can be recommended complete bed rest, pain killers and intake of plenty of fluids. Examination of the right eye did not reveal any abnormality despite being on the same side with the facial scar. Transsynaptic spread of varicella zoster virus through the visual system: A mechanism of viral dissemination in the central nervous system. After initial infection, the viruses move to sensory nerves, where they become latent and reside life-long.
Barrier protection methods are the most reliable method of preventing transmission of herpes, but they merely reduce rather than eliminate risk.
When an infected person has a herpes outbreak, the virus travels down the nerve fibers to the site of the original infection and when it reaches the skin, the classic redness and blisters occur. Typically, the blisters heal completely but reappear at some point in the future when least expected (or desired). Primary herpes refers to the first episode of symptoms after infection, often presenting with painful sores on the lips, gums, and mouth. This is due to irritation and inflammation of the nerves leading to the infected area of skin. Then referring to the risk factors the individual was subjected too, a particular line of treatment is adopted. This type of virus can affect the genitals, the cervix, skin and the other parts of the body.
If there are any signs at all, than they can occur as one or more blisters on or around the genitals or rectum. For those persons without genital herpes can consider about abstaining from sex as well as to be faithful.
Eyes (herpes keratitis); central nervous system, damaging the brain (herpes encephalitis) persons with immature ineffective or suppressed immune systems are prone to severe complications from herpes.
Sometimes the HSV infections can be diagnosed between the outbreaks with a simple blood test. Everything is a good, but not the best option to treat herpes, but there is no treatment that can cure herpes. The symptoms were preceded by a painful rash over her contralateral forehead and nose one week earlier. In between attacks, the virus resides deep in the roots of the nerves that supply the involved area. This person that is initially infected with requiring genital herpes, if the recurrences occur, they tend to happen more frequently. The herpes simplex virus has two types: HSV-a, or herpes type 1, and HSV-2, or herpes type 2.
After the blisters appear they can break, leaving tender ulcers (sores) that may take more than two weeks and something even four weeks to heal the first time they occur. Use a condom and read more about birth control is the best option and protection you can get.
A proper education for genital herpes is always welcomed and not only for those patients that has genital herpes, but for all our patients as well. There were paracentral Descemet’s folds at the 5 o’clock position, measuring 3mm by 3mm with very mild stromal edema, endothelial bullae and localized keratic precipitates. The corneal edema and striae were markedly reduced and the bullae the on endothelium had completely resolved. Early stages of orofacial herpes and genital herpes are harder to diagnose; laboratory testing is usually required. When herpes simplex lesions appear in their most common location, around the mouth and lips, people often refer to them as "cold sores" and "fever blisters. The condition is particularly contagious during this period, even though the skin still appears normal. These blisters break down rapidly and, when seen, appear as tiny, shallow, gray ulcers on a red base. These blisters dry up rapidly and leave scabs that last anywhere from a few days to a few weeks, depending on the severity of the infection. This pattern has important implications for the many people who fear they have herpes but don't: If something lasts for weeks, it is unlikely to be herpes.
The examination of the right eye did not reveal any abnormality despite being on the same side with the facial scar.

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