When are consultations with specialists indicated in the treatment of meningitis?

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

Consultation with an infectious diseases specialist is indicated. Consultation with a neurosurgeon is indicated in patients with any of the following:

  • Severe intracranial hypertension

  • Evidence of paranasal and mastoid infection that warrants surgical drainage

  • Skull fractures

  • Foreign body–associated infections (eg, ventriculoperitoneal shunts)

  • Associated abscess formation


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