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==Overview==
==Overview==


==General Symptoms==
==Symptoms==
According to [http://www.meningitis.org/symptoms research], these are typical symptoms of infection. Not all of these symptoms will appear, and not necessarily in this order. Every child with purpuric [[rash]] and high [[fever]] should be treated as meningococcemia - until proven otherwise.
According to [http://www.meningitis.org/symptoms research], these are typical symptoms of infection. Not all of these symptoms will appear, and not necessarily in this order. Every child with purpuric [[rash]] and high [[fever]] should be treated as meningococcemia - until proven otherwise.
*Rash, pinpoint red spots ([[petechiae]])  
*Rash, pinpoint red spots ([[petechiae]])  

Revision as of 15:38, 27 August 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Symptoms

According to research, these are typical symptoms of infection. Not all of these symptoms will appear, and not necessarily in this order. Every child with purpuric rash and high fever should be treated as meningococcemia - until proven otherwise.

  • Rash, pinpoint red spots (petechiae)
  • High fever
  • Severe headache
  • Severe malaise
  • Nausea and vomiting
  • Stiff neck
  • Sensitivity to light (photophobia)
  • Mental status changes
  • Headache, confusion, and stiff neck occurred as symptoms in less than half of 53 patient in one series by Carpenter and Petersdorf.
  • Patient may complain of significant myalgias.

HUSSEIN AND SHAFRAN CANADIAN REVIEW OF BACTERIAL MENINGITIS

Fever >= 37.7 degrees Celsius 97%
Nucal Rigidity 87%
Headache 66%
Denied Headache 16%
Nausea/Vomiting 55%
Confusion 56%
Decreased Consciousness 51%
Focal Neurologic Deficits 23%
Seizure 29%

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