[Purulent meningitis].
Purulent meningitis is a bacterial infection of the subarachnoid space. It constitutes a diagnostic and therapeutic emergency. The vital and functional prognosis is always engaged and depends on the rapidity and the adequacy of management. Treatment is based on a bactericidal antibiotic treatment which is at first empirically prescribed, on the basis of the underlying condition, the clinical examination and the epidemiological context, and then adjusted according to the micro-organism isolated from the cerebrospinal fluid. The recent emergence and increase of penicillin-resistant Streptococcus pneumoniae has led to a modification of antibiotic guidelines.
Lefort
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Service de médecine interne Hôpital Beaujon 92118 Clichy.
Fantin
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B
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D006801:Humans; D008586:Meningitis, Pneumococcal / Q000188:drug therapy / Q000473:pathology*; D010403:Penicillin Resistance; D011379:Prognosis; D013346:Subarachnoid Space / Q000382:microbiology* / Q000473:pathology
D000900:Anti-Bacterial Agents