Journal article
Emergency department management of meningitis and encephalitis
Infectious disease clinics of North America, Vol.22(1), pp.33-52
03/2008
DOI: 10.1016/j.idc.2007.10.001
PMID: 18295682
Abstract
Bacterial meningitis and viral encephalitis are infectious disease emergencies that can cause significant patient morbidity and mortality. Clinicians use epidemiologic, historical, and physical examination findings to identify patients at risk for these infections, and central nervous system (CNS) imaging and lumbar puncture (LP) may be needed to further evaluate for these diagnoses. The diagnosis of bacterial meningitis can be challenging, as patients often lack some of the characteristic findings of this disease with presentations that overlap with more common disorders seen in the emergency department. This article addresses considerations in clinical evaluation, need for CNS imaging before LP, interpretation of cerebrospinal fluid results, standards for and effects of timely antibiotic administration, and recommendations for specific antimicrobial therapy and corticosteroids.
Details
- Title: Subtitle
- Emergency department management of meningitis and encephalitis
- Creators
- Michael T Fitch - Wake Forest UniversityFredrick M Abrahamian - Olive View-UCLA Medical CenterGregory J Moran - Olive View-UCLA Medical CenterDavid A Talan - Olive View-UCLA Medical Center
- Resource Type
- Journal article
- Publication Details
- Infectious disease clinics of North America, Vol.22(1), pp.33-52
- DOI
- 10.1016/j.idc.2007.10.001
- PMID
- 18295682
- ISSN
- 0891-5520
- eISSN
- 1557-9824
- Language
- English
- Date published
- 03/2008
- Academic Unit
- Emergency Medicine; Internal Medicine
- Record Identifier
- 9984297138702771
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