BACTERIAL MENINGITIS IN ADULTS: SYMPTOMS, CAUSES, DIAGNOSIS, AND TREATMENT

Learn to immediately recognize bacterial meningitis and treat it in time. Without timely treatment, it's almost 100% fatal. Even with our modern diagnostic tools and medications, bacterial meningitis is often misdiagnosed, treatment is delayed, and the outcome is worse than it should be. In this video, you will learn what mistakes are most common in practice, how to avoid them and maximize your patient's chances of recovery. You will learn to recognize the symptoms of bacterial meningitis, what to look for in the physical examination, how to determine the most probable cause, when to order a head CT scan, how to interpret the results of CSF analysis, and how to choose appropriate antibiotics. If you want to learn even more, you will find additional resources in this description.
Lecture summary in PDF:
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If you want to learn how to recognize life-threatening infections like sepsis and CNS infections as early as possible, I highly recommend you take my free online course!
A Clinical Approach to Serious Infections in Adults: What Every Physician Should Know:
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DISCLAIMER: Please, always keep in mind that my videos are intended for educational purposes only. The content of my videos is NOT medical advice. I do not practice medicine over the internet. If you are a patient and have any questions about your health, please talk to your doctor.
CHAPTERS:
00:00 Symptoms of bacterial meningitis
03:31 Altered level of consciousness: never ignore it!
05:48 Causes of bacterial meningitis: clinical clues and tell-tale signs
08:50 A head CT scan before a lumbar puncture?
11:28 Typical CSF findings in bacterial meningitis
13:00 Gram-stain interpretation
13:31 CBC and CRP
14:13 Treatment of bacterial meningitis (antibiotics, dosing, duration)
REFERENCES & RECOMMENDED READING:
1. Beek D van de, Cabellos C, Dzupova O, Esposito S, Klein M, Kloek AT, et al. ESCMID guideline: diagnosis and treatment of acute bacterial meningitis. Clinical Microbiology and Infection. 2016 May 1;22:S37-62.
2. Salazar L, Hasbun R. Cranial Imaging Before Lumbar Puncture in Adults With Community-Acquired Meningitis: Clinical Utility and Adherence to the Infectious Diseases Society of America Guidelines. Clin Infect Dis. 2017 Jun 15;64(12):1657-62.
3. Tunkel AR, Hartman BJ, Kaplan SL, Kaufman BA, Roos KL, Scheld WM, et al. Practice guidelines for the management of bacterial meningitis. Clin Infect Dis. 2004 Nov 1;39(9):1267-84.
4. van Ettekoven CN, van de Beek D, Brouwer MC. Update on community-acquired bacterial meningitis: guidance and challenges. Clin Microbiol Infect. 2017 Sep;23(9):601-6.

[@clinicaltips8926]

I want to remind everyone that my videos are for educational purposes only. Of course, everyone is welcome to watch, but the information I present is most useful for junior doctors, nurses, and students. As I stated in the description of every video and on my channel homepage, none of this is medical advice for patients. I don't practice medicine over the internet. If you are a patient and have any questions about your health, please get in touch with your doctor.

[@berlindaarmijo9251]

Thank you! I didn't read that. Sorry about that. And, it makes sense that you can't answer anyone's question. Just what you provide on your videos. I will talk more to my primary Dr on my next visit. That's good to know for future videos I watch from you. I learn a lot from them. Again, thank you very much. May Almighty God continue to bless you Richly. - Ps 83:18

[@tiffanykay1238]

I had meningitis B at 18 months old for 5 days. They said I was going to be blind, deaf, death, lose a limb or die. I contracted the disease one month before the vaccine came out. I had it quite severely. I survived with nothing wrong, 31 years later, I have amazing sight, hearing, I have all my limbs and nothing cognitively wrong either. ❤️

[@MikeMubaiwa_]

I have a female cousin in icu with it and me and my family we are praying for a miracle and your story just gave me hope.Thank you

[@bilbo90161]

Genijalan video, hvala!

[@adamc8753]

Amazing video. Thank you very much.

[@IvanBretana-hd5ll]

thank you for the information

[@goodfella9867]

this is extremely helpful to me as a student about to take an infectious diseases exam! thank you for the video!!!

[@Ariapeithes_]

Wow this is very informative...

[@manjulajyothi6026]

Thank so much sir

[@ShadowWalker-vq7kb]

I've had a TBI the regular doctor is absolutely worthless and I was injured right before COVID and when I needed the neologist the most they were to scared to see people. I still have at least 5 episodes of these symptoms a year. And when I have them. They treat it like a earache and set a appointment for after it gets better.

[@berlindaarmijo9251]

Vital information here to Know about. Thank you! Very much. I have some questions Is CSF leak the same as meningitis? Or does CSF leak lead to meningitis if not taken care of? I need to see my neurologist soon I will be getting tests for CSF leak.. symptoms going on for a while it's also caused double vision on my right eye which I gets me dizzy when walking and I get migraine headaches stiff neck and weakness on the right arm. And I feel very tired most of the time. Next question can congenital torticollis and scoliosis cause CSF Leak? My face, neck and back are not normal. And now at my older age 62 It has started effecting me if different ways. My mother had a very hard time giving birth to me that was the reason for these 2. Torticollis and scoliosis. And, can a cervical degenerative disc cause CSF leak? I have all this going on. Please, answer when you get time. Thank you!

[@flufentine3284]

There are many causes for csf leaks and they can be difficult to find. You can find information on the Spinal CSF Leak Foundation website and hopefully find a provider familiar with them. Hope this helps.

[@LittleAngelHAPPYKID]

I have meningitis, only vocal infection. I meant no sound, i can't talk and also throat pain... Any remedy??? Please

[@Vicmot]

Can you treat bacterial meningitin with penicillin VK ? And if.. whats the dosage for adult and length of treatment?

[@HeartBreakTrey]

I’m also waiting for the answer

[@susansimpson2202]

This is an emergency medical condition. If you suspect meningitis, you should seek immediate medical care preferably by going to the emergency room.

[@CrispyApplesauce]

Thank you so much for this. Fell asleep last night with a frontal migraine(took my emergency migraine medicine) Woke up with the same migrane, horribly stiff/aching neck, and a sinus infection. The day has come to and end, nothings better, and I have a small rash forming on my chest. Do I have to wait to go to the doctor tomorrow? Yes. Do I hope that NyQuil will save me? Yes.

[@MegaSantiago20]

Did you got checked?

[@CrispyApplesauce]

@@MegaSantiago20 hi, I went to the hospital yesterday and was tested for covid and the flu. It came back negative for both so the just sent me home. My symptoms are a bit different now. Yesterday the neck aching went away but now my tonsils and lymph nodes are swolen. I still have the migraines but they gave me a prescription for that(FIORICET), Sinuses are still messed up but my right ear is swolen on the inside to the point to where I cant hear out of it, when I sneeze or burp or cough or yawn it feels like a needle is jabbed into my ear. Even when my ear does drain it’s only clear to redish liquid that comes out. I told the nurses and doctor at the hospital all of this, I wish they would give me any sort of explanation on why this might be happening.

[@StyleshStorm]

​@@CrispyApplesauce How are you now? This was 3 months ago.

[@CrispyApplesauce]

⁠@@StyleshStorm I’m much better now. 4 days after I went to that hospital I went to a different one and was given two different steroid pills and a shot. I was told I definitely had an ear/sinus infection and I had acute symptoms of meningitis. It took me almost 2 months to get better and I lost my hearing completely in my right ear up until a couple weeks ago.

[@christineeells8607]

😂😅 smart and good looking

[@user-uq2fj3uf3m]

My pain and sorrow is gone thank you Dr Kunle Herbal, on KZbin for being responsible through the natural herbal medicine you gave me am greatful doc