signs and symptoms: Projectile vomiting Shrill cry Bulging fontanel Altered sensorium Seizures Photophobia Hypertonia Neck rigidity Kernig sign and Brudzinki sign positive FUNDUS: Congestion, Pappilloedema

1. ACUTE BACTERIAL
MENINGITIS
RAJA PRAVEENA. P.S

2. CLINICAL FEATURES

3. SIGNS & SYMPTOMS
• Projectile vomiting
• Shrill cry
• Bulging fontanel
• Altered sensorium
• Seizures
• Photophobia
• Hypertonia
• Neck rigidity
• Kernig sign and Brudzinki sign positive
• FUNDUS: Congestion, Pappilloedema

5. MUSCLES:
Power is preserved
Reflexes are normal
diminished or exaggerated
NEUROLOGICAL DEFICTS:
Hemiparesis
Cranial nerve palsies
Hemianopsia
RESPIRATION:
Periodic or Cheyne
stokes breathing
TACHE CEREBRALE

6. SPECIAL FEATURES

7. MENINGOCOCCAL
MENINGITIS
• Petechial hemorrhages
• Meningococcemia
• Adrenal insufficiency
• Hypotension
• Shock and coma

8. PNEUMOCOCCAL MENINGITIS
• Follows Otitis media, sinusitis, pneumonia
• Subdural effusion is a common complication

9. STAPHYLOCOCCAL
MENINGITIS
• Follows umblical sepsis, mastoiditis, sinus thrombosis

10. COMPLICATIONS

11. Complications
• Subdural effusion
• Ventriculitis
• Arachnoiditis
• Brain abscess
• Hydrocephalus
• Neurological deficits
• Systemic complications