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aseptic meningitis
meningitis, not bacterial meningitis or fungal meningitis [1]
Etiology:
- viral meningitis
- meningitis of unknown etiology or known not to be of infectious etiology
- medications
- NSAIDs, antibiotics, intravenous immunoglobulin
- malignancy
- systemic inflammation
Clinical manifestations:
- see meningitis
Laboratory:
- see meningitis
Management:
1) also see viral meningitis
2) uncomplicated
a) symptomatic treatment
b) fluids
c) pain control: acetaminophen
d) rest
3) severely ill
a) ceftriaxone (Rocephin) 1 gram every 12 hours
b) cefotaxime (Claforan) 1 gram every 8 hours
c) addition of ampicillin 2 grams every 6 hours
4) if uncertain, hospitalize & observe for 24 hours
5) repeat lumbar puncture if indicated
General
meningitis
References
- Medical Knowledge Self Assessment Program (MKSAP) 16, 18, 19.
American College of Physicians, Philadelphia 2012, 2018, 2021.
- Nigrovic LE.
Aseptic meningitis.
Handb Clin Neurol. 2013;112:1153-6. Review.
PMID: 23622323