Abstract

TROCHA, Guillermo; RAMIREZ, Natalia; CERON, Nathaly  and  ROMERO, Camilo. Community-acquired acute bacterial meningitis in adults. Acta Neurol Colomb. [online]. 2021, vol.37, n.1, suppl.1, pp.55-63.  Epub May 21, 2021. ISSN 0120-8748.  https://doi.org/10.22379/24224022335.

Despite its low incidence, bacterial meningitis has a high morbimortality. Pneumococcus and menigococcus are the main etiologic agents in community-acquired bacterial meningitis. Its development depends on the complex interaction between bacterial factors and the host's immune response. Diagnosis requires recognition of the clinical syndrome, confirmation of meningeal inflammation and cerebrospinal fluid identification of the etiologic agent. Early treatment with broad antibiotic coverage and later guided by laboratory results reduces adverse outcomes. In this narrative review, clinical, pathophysiological, diagnostic, treatment and prognostic aspects of acute community-acquired bacterial meningitis in adult are described.

Keywords : meningitis, bacterial; diagnosis; cerebrospinal fluid; sequelae (MeSH).

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