emDOCs.net Emergency Medicine (EM) Podcast Episode 115: Adult Meningitis
Mar 4, 2025
Explore the critical topic of bacterial meningitis in adults, focusing on how to recognize early symptoms and the urgent need for swift diagnosis. Learn about the latest treatment strategies, including effective antibiotics and the importance of targeting listeria in at-risk populations. Discover how steroids can help manage inflammation and what to do about elevated intracranial pressure. This insightful discussion is essential for anyone in emergency medicine!
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Rare But Deadly Bacterial Meningitis
- Bacterial meningitis is rare but can be devastating with high mortality and neurological complications.
- The infection occurs via spread from blood, local extension, or trauma/neurosurgery.
Classic Triad Is Uncommon
- Classic meningitis triad (fever, neck stiffness, altered mental status) appears in <40% of cases.
- Headache is the most common symptom, present in up to 90% of patients.
Avoid Kernig and Brudzinski Tests
- Do not rely on Kernig or Brudzinski signs; they lack sensitivity.
- Absence of headache, fever, neck stiffness, or altered status makes meningitis very unlikely (<1%).