Meningitis

Meningitis

【symptom/finding】

1. headache　
   Jolt Accentuation of Headache
2. fever
3. meningial irritation
   Kernig sign
   Brudzinski sign

fever
stiffness of neck            →これらが１つも無ければ否定的
disturbance of conciousness

【bacteria】

【diagnosis】

• Blood culture(x2)
• lumbar puncture

【First treatment】

1. Rocephin(ceftriaxone sodium:CTRX) 2g/12hr + Vancomycin 1g/12hr
   ±Viccillin(ampicillin) 2g/4hr
   ±Rifampicin 600mg/day 2x
   or
2. Meropen(meropenem hydrate:MEPM) 2g/8hr + Vamcomycin 1g/12hr