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Clinical Picture Neisseria meningitidis subdural empyema causing acute cauda equina syndrome

A 22-year-old man presented to a hospital emergency department with symptoms of bacterial meningitis but without focal neurology. Blood and CSF cultures were positive for Neisseria meningitidis serogroup B. He received empirical bacterial meningitis therapy on presentation to the hospital as per local guidelines with 4 g ceftriaxone every 24 h, vancomycin titrated to>20 mg/L and 10 mg dexamethasone every 6 h, and 1 ·8 g benzylpenicillin every 4 h. On day 2 after admission, after bacterial identification of N meningitidis, treatment was simplified to the use of high dose ceftriaxone monotherapy.
Source: The Lancet Infectious Diseases - Category: Infectious Diseases Authors: Tags: Clinical Picture Source Type: research

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This study should mostly be a wake-up call to health care providers, who clearly need to do a better job of getting information about the benefits of immunization to pregnant women. But it also points out that every single one of us can make a difference, by getting the word out. The majority of American children are fully immunized, yet it’s the parents who choose not to immunize who are more vocal. That needs to change — especially because studies clearly show that when it comes to health information, the opinions of friends and family really do matter. So speak up. If you have vaccinated your children, talk ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Pregnancy Vaccines immunization immunizations Source Type: blogs
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Source: BMC Microbiology - Category: Microbiology Authors: Tags: Research article Source Type: research
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