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Meningitis - pneumococcal

• Overview
• Symptoms
• Treatment
• Prevention

Alternative Names:

Pneumococcal meningitis

Treatment:

Antibiotic therapy should be started as soon as possible. Ceftriaxone is one of the most commonly used antibiotics. If antibiotic resistance is suspected, vancomycin or rifampin are used. Sometimes systemic corticosteroids may be used, especially in children.

Expectations (prognosis):

With early treatment, the outcome is better. However, 20% of people who contract this disease will die of it and 50% will have serious long-term complications.

Complications:

About half of all patients have long-term complications, such as the following:

• Hydrocephalus
• Subdural accumulation of fluid
• Deafness
• Paralysis of various muscles
• Mental retardation

Calling your health care provider:

Call the local emergency number (such as 911) or go to the emergency room if a young child has persistent unexplained fever, irritability, feeding difficulties, or high-pitched cry and you suspect meningitis.

Call the local emergency number if you develop any of the serious symptoms listed above. Meningitis can quickly become a life-threatening illness.

• Review Date: 8/15/2006
• Reviewed By: Hilary M. Babcock, M.D., Medical Director of Occupational Infection Control, Barnes-Jewish and St. Louis Children's Hospitals; Instructor of Medicine, Infectious Disease Division, Washington University School of Medicine, St. Louis, MO. Review provided by VeriMed Healthcare Network.

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