How is meningitis managed after initial treatment?

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

The patient’s condition and ED organization may warrant 8-12 hours of watchful waiting, followed by reexamination of the CSF (this should be done sooner if the patient’s condition deteriorates). If initial granulocytosis changes to mononuclear predominance, CSF glucose remains normal, and the patient continues to look well, the infection is most likely nonbacterial.


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