Bacterial meningitis: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Bacterial meningitis: clinical features. Neisseria meningitidis, Streptococcus pneumonia, Listeria monocytogenes. Fully referenced neurology checklist.

Commonest causative organisms

  • Neisseria meningitidis
  • Streptococcus pneumonia
  • Listeria monocytogenes
  • Haemophilus influenza

Risk factors

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Clinical features

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Complications

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Predictor of poor outcome: the FOUR score

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Differential diagnosis: crowned dens syndrome

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References

  1. Sigurdardóttir B, Björnsson OM, Jónsdóttir KE, Erlendsdóttir H, Gudmundsson S. Acute bacterial meningitis in adults. A 20-year overview. Arch Intern Med 1997; 157:425-430.
  2. Durand ML, Calderwood SB, Weber DJ, et al. Acute bacterial meningitis in adults. A review of 493 episodes. N Engl J Med 1993; 328:21-28.
  3. Alalade AF, Briganti G, Mckenzie JL, et al. Fossa navicularis in a pediatric patient: anatomical skull base variant with clinical implications. J Neurosurg Pediatr 2018; 27:1-5.
  4. Segal N, Atamne E, Shelef I, Zamir S, Landau D. Intracranial infection caused by spreading through the fossa naviclaris magna-a case report and review of the literature. Int J Pediatr Otorhinolaryngol 2013; 77:1919-1921. 
  5. Bhimraj A. Acute community-acquired bacterial meningitis in adults: An evidence-based review. Clev Clin J Med 2012; 79:393-400.
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