Which physical findings are characteristic of pediatric pneumococcal meningitis?

Updated: Jan 14, 2019
  • Author: Meera Varman, MD; Chief Editor: Russell W Steele, MD  more...
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Answer

Meningitis/CNS infection findings include the following:

  • Ill appearance

  • Nuchal rigidity (may not be present in infants < 4 mo)

  • Altered mental status, poorly responsive (patient may present in comatose state)

  • Other neurologic abnormalities possible, such as cranial nerve deficits, ataxia, and weakness

  • Poor perfusion and signs of shock in patients with concurrent pneumococcal sepsis


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