SUSPECT MENINGITIS
• In a child who is severely ill, or unconscious, or who has a high fever, without an obvious
cause.
• If there is a recent history of poor feeding, vomiting, fever irritability, convulsions or
depressed level of consciousness.
• In a young infants with a history of lethargy, apnoea or poor sucking.
• In older children complaining of photophobia, headache and stiffness of the neck.
LOOK FOR
• Danger signs: not able to drink, convulsions, abnormally sleepy/ difficult to wake, ina young infant temperature > 37.5°C or <35.5°C.
• Signs of shock tachycardia, pulses difficult to feel, cold peripheries,
capillary filling time > 4 seconds
• Specific signs
of meningitis
neck stiffness and irritability
bulging fontanelle in an infant
• Rash petechial or purpuric rash, that does not blanch, indicative of
meningooccal disease .
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