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Pediatric Meningitis

Diagnosis and management of bacterial and viral meningitis in children

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Internal Medicine department. Book Appointment →

What is Pediatric Meningitis?

Pediatric meningitis is inflammation of the meninges in children caused by viral or bacterial pathogens. In neonates, group B streptococcus, E. coli, and Listeria predominate; in older children, meningococcus, pneumococcus, and Haemophilus are leading bacterial causes.

Clinical findings vary by age and may be nonspecific in young infants. Urgent lumbar puncture and prompt initiation of empirical therapy are vital to outcomes.

Vaccination programs (Hib, pneumococcal, meningococcal conjugate) have markedly reduced the incidence of bacterial meningitis.

Symptoms

High fever and irritability
Neck stiffness and bulging fontanelle (in infants)
Altered consciousness and seizure
Vomiting and feeding difficulties
Petechial rash (meningococcemia)

Risk Factors

Young age and prematurity
Lack of vaccination
Recent meningitis exposure
Immunodeficiency
Ear or sinus infections

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If a child has fever with irritability and lethargy
  • If neck stiffness and vomiting accompany
  • If a petechial rash is present (emergency)
  • If a seizure develops

Treatment Methods

01
Urgent lumbar puncture and culture
02
Empirical broad-spectrum antibiotics (ceftriaxone ± vancomycin)
03
Ampicillin combination in neonates
04
Dexamethasone (in selected cases)
05
Supportive care and intensive care
06
Chemoprophylaxis for contacts

Which Department to Visit?

You can visit our Enfeksiyon Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Enfeksiyon Hastalıkları Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.