32. A Pain in the Neck - Meningitis
The Intern At Work: Internal Medicine
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When Should You Suspect Bacterial Meningitis?
The classic triad of acute bacterial meningitis consists of fever, neck stiffness, and an altered mental status. Pre-disposing factors include asplenia, complement deficiency, glucocorticoid excess, diabetes mellitus, alcoholism, hypogamicalbenemia, and HIV. The incidence of homophilus influenza meningitis has decreased as a result of vaccination.
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