Clinical features

• fever ^b
• neck stiffness ^b
• altered mental state ^b
• focal neurological signs ^{a b}
• photophobia ^d
• rash ^b
• frank bleeding ^a

Why?

Fever, neck stiffness and altered mental state are common findings with meningitis

Clinical feature	% (95% CI)
fever b	85% (78% to 91%)
neck stiffness	70% (58% to 82%)
altered mental state	67% (52% to 82%)
headache	50% (32% to 68%)
fever, neck stiffness and altered mental state	46% (22% to 69%)
nausea and vomiting	30% (22% to 38%)
focal neurological findings	23% (15% to 31%)
rash	22% (1% to 43%)