TY  - CHAP
M1  - Book, Section
TI  - Meningitis and Encephalitis
A1  - Kelly, Elizabeth W.
A1  - Fitch, Michael T.
A2  - Sherman, Scott C.
A2  - Weber, Joseph M.
A2  - Schindlbeck, Michael A.
A2  - Rahul G., Patwari
Y1  - 2014
N1  - 
T2  - Clinical Emergency Medicine
AB  - The  classic  triad  of  meningitis  includes  fever,  neck  stiffness,  and  altered  mental  status.  However,  all  3  of  these  are  present  less  than  half  of  patients  with  bacterial  meningitis.Patients  who  are  very  young,  very  old,  or  immunocompromised  may  present  with  atypical  signs  and  symptoms.Empiric  antibiotics  should  not  be  delayed  while  waiting  for  a  computed  tomography  (CT)  scan  before  a  lumbar  puncture  (LP)  if  meningitis  is  a  likely  diagnosis.  When  a  CT  scan  is  necessary,  draw  blood  cultures  and  administer  steroids  and  appropriate  antibiotics  before  the  LP.Consider  the  diagnosis  of  herpes  simplex  virus  encephalitis  in  patients  with  focal  neurologic  findings  or  altered  mental  status  and  add  intravenous  acyclovir  to  the  empiric  antimicrobial  regimen.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1101225002
ER  -