Acute Bacterial Meningitis . DEMOGRAPHY AND EPIDEMIOLOGY. The highest incidence is among neonates, who are usually infected by bacteria found in the birth canal at the time of parturition.
Coagulase negative staphylococci and corynebacteria .
Cryptococcal and L.monocytogens.
Gram\'s stainPositive in >60%CulturePositive in >80%
Latex agglutinationMay be positive in patients with meningitis due to S. pneumoniae, N. meningitidis, H. influenzae type b, E. coli, group B streptococci Limulus lysatePositive in cases of gram-negative meningitisPCRDetects bacterial DNA
One of the most common problems resulting from meningitis is hearing loss.Anyone who has had meningitis should take a hearing test.
A spectacular reduction in H. influenzae meningitis has been associated with the near universal use of a vaccine against this organism in developed countries since 1987
Dexamethasone as adjunctive therapy in bacterial meningitis. A meta-analysis of randomized clinical trials since 1988. JAMA 1997; 278:925
Guidelines for the use of systemic glucocorticoids in the management of selected infections.
J Infect Dis 1992; 165:1
Spectrum of complications during bacterial meningitis in adults. Results of a prospective clinical study. Arch Neurol 1993; 50:575
Acute bacterial meningitis in adults.
N Engl J Med 1993; 328:21.
Even my family has stopped listening to me!
Love is unconditional with Nora
McNabb JN, et al, MMWR. 2008;55:1-94.
A 9-month-old Baby in Septic Shock with Purpuric Neisseria meningitidis Skin Lesions
Photo by D. Scott Smith, MD, taken at Stanford University Hospital.