Meningitis in infants

Non-specific clinical presentation in infants

Viral - more common

• Enteroviruses 50%
• HSV, influenza, EBV, adenovirus, CMV

Bacterial:

• Neonates - Group B Strep, E. coli, Listeria monocytogenes
• >1month-5 years - Strep pneumoniae, Neisseria meningitidis

Medical emergency - urgent dose of IM benzylpenicilin