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Meningitis in Primary Care, Streptococcus pneumonia most common cause in…
Meningitis in Primary Care
Signs & Symptoms
Nausea/Vomiting
Headache
Lethargy
Non blanching rash
Fever
Photophobia
Neck stiffness
Confusion
Confusion
Seizures
Irritability
Bulging fontanelle in >2s
Myalgia/Muscle aches
Causes
MenB most common in under 25's
Bacterial
Neisseria meningitidis, Streptococcus pneumonia, Haemophilus influenza type B (HIB)
Differentials
Sepsis
Bacterial meningitis
Viral meningitis
Encephalitis
Enteroviruses
CNS abcess
Malignancy
SAH
Pnuemonia
Fungal Meningitis
Tuberculous Meningitis
Management
Benzylpenicillin (IV/IM)
1-9 years: 600mgs
10 years: 1.2g
< 1 year - 300mg
If penicillin allergy - give Cefotaxime
1month - 11years: 50mg/Kg
12 years+: 1G
999 - Emergency transer
If no blanching rash - do not administer unless admission to hospital is likely to be delayed eg Rural areas
Streptococcus pneumonia most common cause in adults