Predominant age: neonates, infants, and elderly
Predominant sex: male = female
18–3...
Antecedent upper respiratory infection
Fever, headache, vomiting, photophobia
Seizures, confusion
Nausea, rigors, sweats, weakness
Elderly: subtle findings including confusion
Infants: irr...
Initiate empiric antibiotic therapy immediately after lumbar puncture (lumbar puncture > Abx). If head CT scan is needed, initiate antibiotic therapy immediately after blo...
Brainstem auditory—evoked response hearing test for infants before hospital discharge
Vaccinations
4 doses Hib conjugate vaccine recommended durin...
G00.9 Bacterial meningitis, unspecified
G00.2 Streptococcal meningitis
G00.8 Other bacterial meningitis
G00.1 Pneumococcal meningitis
G00.3 Staphylococcal meningitis
G00.0 Hemophilus meningitis
Rapidly evolving petechial rash (purpura fulminans) is more common in meningococcal disease.
Do not delay empiric therapy for lumbar puncture if meningitis is suspected and lumbar punct...
Sign up for a 10-day FREE Trial now and receive full access to all content.
<bold>Figure 67-9</bold> Purpura fulminans in a patient with meningococcemia.
petechiae and purpura in patient with meningococcemia