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ACUTE BACTERIAL
MENINGITIS
RAJA PRAVEENA. P.S
CLINICAL FEATURES
SIGNS & SYMPTOMS
• Projectile vomiting
• Shrill cry
• Bulging fontanel
• Altered sensorium
• Seizures
• Photophobia
• Hypertonia
• Neck rigidity
• Kernig sign and Brudzinki sign positive
• FUNDUS: Congestion, Pappilloedema
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
SPECIAL FEATURES
MENINGOCOCCAL
MENINGITIS
• Petechial hemorrhages
• Meningococcemia
• Adrenal insufficiency
• Hypotension
• Shock and coma
PNEUMOCOCCAL MENINGITIS
• Follows Otitis media, sinusitis, pneumonia
• Subdural effusion is a common complication
STAPHYLOCOCCAL
MENINGITIS
• Follows umblical sepsis, mastoiditis, sinus thrombosis
COMPLICATIONS
Complications
• Subdural effusion
• Ventriculitis
• Arachnoiditis
• Brain abscess
• Hydrocephalus
• Neurological deficits
• Systemic complications
Acute bacterial meningitis - clinical presentation
Acute bacterial meningitis - clinical presentation

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