14. Diagnosis and Management of Bacterial and Viral Meningitis

  1. Edward M. Manno MD, FCCM, FAAN, FAHA
  1. Maxwell S. Damian MD, PhD

Published Online: 11 APR 2012

DOI: 10.1002/9781118297162.ch14

Emergency Management in Neurocritical Care

Emergency Management in Neurocritical Care

How to Cite

Damian, M. S. (2012) Diagnosis and Management of Bacterial and Viral Meningitis, in Emergency Management in Neurocritical Care (ed E. M. Manno), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118297162.ch14

Editor Information

  1. Neurological Intensive Care Unit Cleveland Clinic Cleveland, OH, USA

Author Information

  1. Department of Neurology and the Neurocritical Care Unit, Cambridge University Hospitals, Cambridge, UK

Publication History

  1. Published Online: 11 APR 2012
  2. Published Print: 11 MAY 2012

Book Series:

  1. Neurology in Practice

Book Series Editors:

  1. Robert A. Gross and
  2. Jonathan W. Mink

Series Editor Information

  1. Department of Neurology, University of Rochester Medical Center, Rochester, NY, USA

ISBN Information

Print ISBN: 9780470654736

Online ISBN: 9781118297162

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Keywords:

  • Meningitis;
  • bacterial infection;
  • cerebrospinal fluid;
  • hydrocephalus

Summary

Fever, headache, and neck stiffness are the clinical hallmarks of inflammation of the meninges. Bacterial meningitis is the most severe form, with a mortality exceeding 20%. Diagnostic workup, and emergency management are presented in this chapter. Timely antibiotic treatment is the key element to successful management. Neurocritical care may be needed for complications such as raised intracranial pressure and extension of the infection. Viral meningitis is a less severe disease, and a guide to thorough diagnostic evaluation is presented.