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Previous Volume 346:1248-1251 April 18, 2002 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Hasbun et al. (Dec. 13 issue)¹ show that in adults with suspected meningitis, clinical findings can guide the decision to perform cranial computed tomography (CT) before lumbar puncture. However, the results should not form the basis for recommendations in adults with bacterial meningitis, because only 2 of their 235 patients had documented bacterial meningitis.

We analyzed the records of 75 adults with proven pneumococcal meningitis treated in our department. Patients with focal neurologic signs, seizures, or a reduced level of consciousness (score on the Glasgow Coma Scale, 12) were more likely to have cerebral abnormalities on the . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Joffe, A. R., Ostergaard, C., Klussmann, J. P., Guntinas-Lichius, O., Altschuler, E. L., van de Beek, D., de Gans, J., Swartz, M. N. (2005). Prognostic Factors in Adults with Bacterial Meningitis. NEJM 352: 512-515 [Full Text]  
• Oliver, W. J., Shope, T. C., Kuhns, L. R. (2003). Fatal Lumbar Puncture: Fact Versus Fiction--An Approach to a Clinical Dilemma. Pediatrics 112: e174-176 [Abstract] [Full Text]  
• Kastenbauer, S., Pfister, H.-W. (2003). Pneumococcal meningitis in adults: Spectrum of complications and prognostic factors in a series of 87 cases. Brain 126: 1015-1025 [Abstract] [Full Text]