Question of the Week

Question

Question :

Posted On : 27 Oct 2020

Can meningitis present without meningeal signs? If yes, how?

Expert Answer :

Answer Discussion :

M

Mohammed Yousuf

0

yes . in subclinical cases

4 years ago

R

Ravi Goyal

0

indolent course

4 years ago

L

Lamiaa Elrashidy

0

Yes, in subclinical and chronic meningitis

4 years ago

Y

Yonatan Worede

0

yes,

4 years ago

Answer 1

Meningitis in infants can frequently present without meningeal signs. Older the child, the more likely that at least one meningeal sign and neck stiffness will be seen. Other signs that point to meningitis: obtundation, altered cry, bulging fontanelle, reduced feeding, fever, seizures. There is a good review on clinical features in meningitis:

Pediatrics. 2010 Nov`126{5}:952-60. Epub 2010 Oct 25.

Clinical features suggestive of meningitis in children: a systematic review of prospective data.
Curtis S, Stobart K, Vandermeer B, Simel DL, Klassen T.

Question of the Week

Home

Partner Sites