What is the typical presentation of meningitis in infants?

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

Infants may have the following:

  • Bulging fontanelle (if euvolemic)

  • Paradoxic irritability (ie, remaining quiet when stationary and crying when held)

  • High-pitched cry

  • Hypotonia

In infants, the clinicians should examine the skin over the entire spine for dimples, sinuses, nevi, or tufts of hair. These may indicate a congenital anomaly communicating with the subarachnoid space.


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