Meningitis diagnosis and emergency treatment in Noida. Dr. Kapil Singhal (DM AIIMS) at Medanta Hospital. Bacterial, viral, and tuberculous meningitis. Team Sushrut, Sector 50.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
Symptoms
Title
Severe headache
Title
High fever
Title
Neck stiffness (inability to touch chin to chest)
Title
Photophobia and phonophobia
Title
Vomiting
Title
Altered consciousness
Title
Non-blanching rash (meningococcal
emergency)
Title
Kernig's and Brudzinski's signs positive on examination
Treatments
Title
Empirical IV antibiotics immediately (ceftriaxone) without waiting for LP in acute bacterial meningitis
Title
IV dexamethasone (steroids) to reduce inflammation and neurological complications
Title
Lumbar puncture for CSF analysis
opening pressure, cells, protein, glucose, culture
Title
Antiviral therapy (aciclovir) if viral (HSV) encephalitis cannot be excluded
Title
ATT (anti-tuberculous treatment) for tubercu
