What monitoring is needed following treatment of viral meningitis?

Updated: Jul 17, 2018
  • Author: Cordia Wan, MD; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Arrange follow-up with the primary care physician in 1-3 days, with explicit instructions to return to the ED in case of any clinical worsening. A follow-up call in a day to report on the status of the patient seems like a common-sense recommendation.

In select patients, additional serum specimens 10-21 days later may reveal a specific viral antibody titer rise, which is useful in arboviral, LCMV, and some nonviral causes of aseptic meningitis.

In cases complicated by seizures, outpatient anticonvulsants should be continued and close follow-up should be considered in the first week after discharge.


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