19. van de Beek, D. et al. N Engl J Med 2006;354:44-53 Major Intracranial Complications in Bacterial Meningitis in Adults
20.
21.
22.
23.
24.
25. Tratamiento. ANTIMICROBIANO ESPECÍFICO MICROORGANISMO ANTIBIÓTICO N. Meningitidis Sensible a penicilina Resist. a penicilina Penicilina G Ceftriaxona o Cefotaxima S. Pneumoniae Sensible a penicilina Sens. intermedia a penicilina Resist. a penicilina Penicilina G Ceftriaxona o Cefotaxima Ceftriaxona o Cefotaxima + Vancomicina H. Influenzae L. monocytogenes Ceftriaxona o Cefotaxima Ampicilina + Gentamicina
Figure 1. Major Intracranial Complications in Bacterial Meningitis in Adults. Transtentorial herniation is caused by diffuse swelling of the brain, or hydrocephalus; the herniation may be asymmetrical when lateral focal lesions are present. Hydrocephalus results from basal obstruction of the cerebrospinal fluid. Infarcts are caused by inflammatory occlusion of the basal arteries. Seizures, as indicated on encephalograms, are caused by cortical inflammation.
