Created at 4:50 p.m. Apr, 02, 2025
Author:
eren.sakarcan
Type of change:
Updated content
Rationale for change
Uworld says dexamethasone pre-treatment isn't effective in gram-negative (h. influenzae, n. meningitidis) bacterial meningitis bc gram-negative cell wall is thinner and lacks teichoic acid/pro-inflammatory triggers = less intense cytokine response = less inflammatory reaction in CSF; only helpful for gram-positive meningitis (s. pneumo)
Source: UWorld - Step 1 14899
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