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Papers of the Week

2020 Sep

Dtsch Med Wochenschr



[Meningitis, Meningoencephalitis – A Chameleon in (Emergency) Medicine].


Meyding-Lamadé U, Craemer E M
Dtsch Med Wochenschr. 2020 Sep; 145(19):1405-1419.
PMID: 32971556.


A wide range of pathogens can cause meningitis or meningoencephalitis.Guiding symptoms of meningitis are headache, fever, nausea, vomiting and meningism.Guiding symptoms of meningoencephalitis are headache, fever, qualitative or quantitative disturbances of consciousness, signs of meningism are possible, optional focal neurological signs can occur.Crucial prognostic factor in treatment of acute meningitis and meningoencephalitis is rapid diagnosis and early initiation of therapy. An early start of therapy is crucial. In addition to rapid pathogen-specific treatment, specialized neurological intensive care medicine is life-saving.