Bacterial Meningitis: Prognosis

by John Fisher, MD

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    00:02 So, let's talk finally about the prognosis of bacterial meningitis.

    00:09 It's a lethal disease.

    00:10 The overall mortality in children is close to 5%.

    00:15 And notice, it varies between H. flu which has the lowest mortality, and the pneumococcus, which has a 15% plus mortality.

    00:28 But complete recovery can be expected in most kids.

    00:33 In adults, the overall mortality is significantly higher and the complications develop in half the adults.

    00:44 So, you can expect an adverse prognosis in persons who are elderly, who have underlying disease of some sort, if they have abnormal mental status when they come in to see the physician, or if they have other organ involvement.

    01:01 They’ve got pneumonia.

    01:02 For example, if a patient has pneumococcal pneumonia and meningitis, then that's a bad prognostic sign.

    01:09 Or if they get some complication during hospitalization for their treatment, or if they’re immunocompromised or have multiple comorbidities, all of these are adverse signs.

    About the Lecture

    The lecture Bacterial Meningitis: Prognosis by John Fisher, MD is from the course CNS Infection—Infectious Diseases.

    Included Quiz Questions

    1. An otherwise healthy 5-year-old child with Haemophilus influenzae meningitis
    2. A 32-year-old HIV positive male with bacterial meningitis
    3. An otherwise healthy 45-year-old woman with Streptococcus pneumoniae meningitis
    4. An otherwise healthy 20-year-old man with an altered mental status and Meningococcus meningitis
    5. An 78-year-old male with a history of diabetes mellitus and ischemic heart disease
    1. Streptococcus pneumoniae
    2. Streptococcus agalactiae
    3. Neisseria meningitidis
    4. Haemophilus influenzae
    5. Listeria monocytogenes

    Author of lecture Bacterial Meningitis: Prognosis

     John Fisher, MD

    John Fisher, MD

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