In which types of meningitis is therapy dictated by the etiologic pathogen (infectious agent)?

Updated: Jul 16, 2019
  • Author: Rodrigo Hasbun, MD, MPH; Chief Editor: Michael Stuart Bronze, MD  more...
  • Print
Answer

Other types of meningitis are treated with specific therapy as appropriate for the causative pathogen, as follows:

  • Fungal meningitis - Cryptococcal (amphotericin B, flucytosine, fluconazole), Coccidioides immitis (fluconazole, amphotericin B, itraconazole), Histoplasma capsulatum (liposomal amphotericin B, itraconazole), or Candida (amphotericin plus 5-flucytosine)

  • Tuberculous meningitis (isoniazid, rifampin, pyrazinamide, ethambutol, streptomycin)

  • Parasitic meningitis (amebic [Naegleria fowleri] or acanthamebic) - Variable regimens

  • Lyme meningitis (ceftriaxone; alternatively, penicillin G, doxycycline, chloramphenicol)

See Treatment and Medication for more detail.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!