Bacterial Meningitis Fever,headache,stiff neck Followed by nausea and vomiting May progress to convulsions and coma Diagnosis by Gram stain of CSF Treated with cephalosporins
• Fever, headache, stiff neck • Followed by nausea and vomiting • May progress to convulsions and coma • Diagnosis by Gram stain of CSF • Treated with cephalosporins Bacterial Meningitis
Bacterial Meningitis Percentage Bacterium of Cases Fatality Rate Streptococcus pneumoniae 30-50 19-46 Neisseria meningitidis 15-40 3-17 Haemophilus influenzae 2-7* 3-11 Other bacteria causing meningitis account for 6-8%of cases. *Before introduction of Hib vaccine,H.influenzae accounted for about 45%of cases of bacterial meningitis;about 70%of these cases occurred in children under age 5. SOURCE:Adapted from E.J.Phillips and A.E.Simor, "Bacterial Meningitis in Children and Adults,"Postgraduate Medicine103(3:104(1998l. Table 22.1
Bacterial Meningitis Table 22.1