Abstract
The suspicion of meningitis in a patient hospitalized for another condition remains a vexing clinical problem. The abrupt onset of typical signs and symptoms of acute bacterial meningitis in someone with a previously normal mental status is very unusual, and when it occurs, it does not pose a diagnostic challenge. Concern for the possibility of nosocomial meningitis is much more common in patients who already have altered mental status and then may develop fever, or in whom immunosuppression or concurrent medications may have blunted or suppressed pyrexia.
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Bleck, T.P. Nosocomial meningitis. Curr Infect Dis Rep 9, 1–2 (2007). https://doi.org/10.1007/s11908-007-0014-3
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DOI: https://doi.org/10.1007/s11908-007-0014-3