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Meningitis

Prevalence
Causes
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Prognosis

Bacterial meningitis

Mortality with bacterial meningitis is high. a

Seizures are common. b c

Neurological sequelae are common; some will be disabled by their illness c

  • The risk of dying or suffering neurological disability is increased with a b
    • aged 60 or more a
    • neck or back stiffness a
    • seizures b
    • altered mental state b c
    • focal neurological signs a
    • stenosis of intracranial arteries a
    • haemorrhagic diathesis a
    • hypotension b
    • anaemia on admission (Hb < 11 g/dl) b
Use a clinical prediction rule to rank patients with proven meningococcal disease for risk of death. a


Viral meningitis
Viral meningitis is less severe. c


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