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Central Nervous System: Bacterial Meningitis


SCENARIO

JA is a 3-year-old male who regularly attends a crowded day care facility. He is typically a very active and energetic boy; however, his mother had difficulty waking him up one morning. Closer inspection revealed a petechial rash on his abdomen. She took his temperature and found that he had a fever of 104°F. He volunteered that he had a headache and felt nauseous. JA was brought to the emergency room where he was examined and a lumbar puncture was performed. Gram stain revealed the presence of Haemophilus influenzae in the cerebrospinal fluid (CSF). He was diagnosed with acute pyogenic meningitis and immediately admitted to the hospital. The patient was treated with intravenous antibiotics. Continue Reading >


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