Almond Mushroom, ABM · 2023 · Review
Medium relevanceIncreased intracranial pressure in acute bacterial meningitis.
Agaricus blazei
Key points
- Acute bacterial meningitis (ABM) is associated with increased intracranial pressure (ICP) caused by bacterial invasion and the host response to infection
- Antibiotic therapy is a sine qua non, and adjunct dexamethasone decreases mortality
- The ICP increase may have a rapid course and death due to herniation is most often seen within the first week
- Evidence regarding treatment of increased ICP in ABM is limited; this review summarises observational studies which point towards reduced mortality by applying a structured approach towards normalization of ICP in ABM
Metadata-grounded summary
Citation abstract
Acute bacterial meningitis (ABM) is associated with increased intracranial pressure (ICP) caused by bacterial invasion and the host response to infection. Antibiotic therapy is a sine qua non, and adjunct dexamethasone decreases mortality. The ICP increase may have a rapid course and death due to herniation is most often seen within the first week. Evidence regarding treatment of increased ICP in ABM is limited; this review summarises observational studies which point towards reduced mortality by applying a structured approach towards normalization of ICP in ABM.
Citation
Hvas CL, Andersen ÅB, Møller K, Hansen K, Poulsen FR, Overgaard-Steensen C (2023). Increased intracranial pressure in acute bacterial meningitis. Ugeskrift for laeger PMID: 38105735
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