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Neonatal Meningitis Diagnosis Difficult Given Subtle Symptoms of Vomiting, Irritability

By Pingching N. Kwan, MD, FACEP, and Tyler J. Williams | on March 14, 2017 | 1 Comment
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Dr. KwanDr. Kwan is an emergency physician with Emergency Medical Management Associates and associate medical director at Garfield Medical Center in Monterey Park, California.

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ACEP Now: Vol 36 – No 03 – March 2017

Mr. WilliamsMr. Williams is a fourth-year medical student at Western University School of Medicine in Pomona, California.

References

  1. Klinger G, Chin CN, Beyene J, et al. Predicting the outcome of neonatal bacterial meningitis. Pediatrics. 2000;106(3):477-482.
  2. Smith PB, Garges HP, Cotton CM, et al. Meningitis in preterm neonates: importance of cerebrospinal fluid parameters. Am J Perinatol. 2008;25(7):421-426.
  3. Tibussek D, Sinclair A, Yau I, et al. Late-onset group B streptococcal meningitis has cerebrovascular complications. J Pediatr. 2015;166(5):1187-1192.
  4. Garges HP, Moody MA, Cotten CM, et al. Neonatal meningitis: what is the correlation among cerebrospinal fluid cultures, blood cultures, and cerebrospinal fluid parameters? Pediatrics. 2006;117(4):1094-1100.
  5. Doan N, Patel M, Nguyen HS, et al. Intracranial subdural empyema mimicking a recurrent chronic subdural hematoma. J Surg Case Rep. 2016;2016(9).
  6. Agarwal A, Timothy J, Pandit L, et al. A review of subdural empyema and its management. Infect Dis Clin Pract. 2007;15(3):149-153.
  7. Malbon K, Mohan R, Nicholl R. Should a neonate with possible late onset infection always have a lumbar puncture? Arch Dis Child. 2006;91(1):75-76.
  8. Narchi H, Ghatasheh H, Al Hassani N, et al. Why do some parents refuse consent for lumbar puncture on their child? A qualitative study. Hosp Pediatr. 2012;2(2):93-98.
  9. King C, Henretig F eds. Textbook of Pediatric Emergency Procedures. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2008.

Pages: 1 2 3 | Single Page

Topics: ClinicalDiagnosisED Critical CareEmergency DepartmentEmergency MedicineEmergency PhysicianMeningitisNeonatalNeurologyPatient CarePediatricsSymptoms

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One Response to “Neonatal Meningitis Diagnosis Difficult Given Subtle Symptoms of Vomiting, Irritability”

  1. March 9, 2023

    Daniel Meressa Reply

    Good diagnosis with good investigation will end up with good treatment and follow-up

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