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Meningitis

Meningitis is a topic covered in the 5-Minute Emergency Consult.

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Emergency Central

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Basics

Description

CNS infection with inflammation of leptomeninges defined by an increased number of WBCs in the CSF often associated with fever, nuchal rigidity, headache, and altered mental status.

Etiology

  • Bacterial:
    • Neonates: Group B Streptococcus, Escherichia coli and other enteric bacilli, Listeria monocytogenes
    • Children/adults: Streptococcus pneumoniae, Neisseria meningitidis, group B Streptococcus and gram-negative bacilli (<3 yr)
    • Elderly/alcoholic: S. pneumoniae, gram-negative bacilli, Listeria spp.
    • Neurosurgical patients: Staphylococcus and gram-negative organisms
    • Transplant recipients and dialysis patients: Increased incidence of Listeria spp. infection
    • AIDS: Above, plus tuberculosis, fungal, syphilis
  • Viral
  • Fungal
  • Chemical, drug, or toxin induced

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Citation

Rosen, Peter, et al., editors. "Meningitis." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307293/1.2/Meningitis.
Meningitis. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307293/1.2/Meningitis. Accessed June 16, 2019.
Meningitis. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307293/1.2/Meningitis
Meningitis [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 June 16]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307293/1.2/Meningitis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Meningitis ID - 307293 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307293/1.2/Meningitis PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -