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Meningitis

Prevalence
Causes
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Causes

Common causes include b
  • Neisseria meningitidis
  • Streptococcus pneumoniae
  • Gram negative bacilli

Remember  b
  • Listeria monocytogenes
  • Haemophilus influenzae
  • Group B Streptococcus (mainly neonates)
  • tuberculosis
  • Cryptococcus
  • Viral infections (Coxsackie, Echovirus, Mumps, Polio) c
Note:

Meningococcus and pneumococcus are common causes of meningitis

cause of bacterial meningitis b c %
Neisseria meningitidis 7.1% to 56%
Streptococcus pneumoniae 21% to 47%
Gram-negative bacilli 21%
Listeria monocytogenes 6% to 8%
Haemophilus influenzae 5% to 7%
Group B Streptococcus (mainly neonatal cases) 13%
 
  • Most cases of meningococcal disease are serogroup B (56%: 95% CI: 52% to 60%). Serogroup C cases are less common (19%:95% CI: 16% to 22%). b

Expiry date: January 2003
Levels of Evidence used in grading these guides

Authors   RS   Phillips , C   Ball
Reviewer   B   Davis
CAT Writers   C   Ball , RS   Phillips , C   Wotton