Pediatric emergency medicine trisk 4018 4018

TABLE 122.2
PEDIATRIC MENINGITIS CAUSATIVE ORGANISMS
Age

Common pathogens

Birth to 90 days

Group B streptococcus
Escherichia coli
Streptococcus pneumoniae
Neisseria meningitidis
Listeria monocytogenes
Herpes simplex virus (HSV)
Enterovirus
Streptococcus pneumoniae
Neisseria meningitidis
Group B streptococcus
Gram-negative rods
Herpes simplex virus
Enterovirus
Streptococcus pneumoniae
Neisseria meningitidis
Enterovirus
Neisseria meningitidis
Streptococcus pneumoniae
Enterovirus
Arboviruses

≥3 months to 3 years

≥3 years to 10 years

≥10 years to 18 years

In exceptional cases where the meningitis is complicated by
hydrocephalus, an external ventricular drain may need to be placed. If the
hydrocephalus is permanent from scarring of the subarachnoid spaces, a
shunt for CSF diversion may need to be considered once the infection has
been treated.

Discitis/Osteomyelitis