So, let's talk finally about the
prognosis of bacterial meningitis.
It's a lethal disease.
The overall mortality in children is close to 5%.
And notice, it varies between H. flu
which has the lowest mortality,
and the pneumococcus,
which has a 15% plus mortality.
But complete recovery can be
expected in most kids.
the overall mortality is significantly higher
and the complications
develop in half the adults.
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.
They’ve got pneumonia.
if a patient has pneumococcal pneumonia and meningitis,
then that's a bad prognostic sign.
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.