Case of the Month #5 - Pneumococcal Meningitis

Published 03/02/2022

Investigations

Bloods:

  • FBC/U&E/LFT/Glucose
  • Coagulation (Contraindications to LP/DIC Screen)
  • Blood Cultures

Chest X-Ray/Urine Dip (as part of initial infection/delirium work up)

Specific Imaging:

  • CT Head
  • MRI – not first line
  • EEG – if ongoing seizure activity/ NCSE suspected

Lumbar Puncture (perform as son as possible):

  • Microscopy and Cell Count
  • Culture
  • Protein/Glucose
  • Specific Viral Screens (HSV + Others)
  • Autoimmune (if suspected)
  • Opening Pressure