The Probert Encyclopaedia of Medicine

SEPTIC MENINGITIS

Septic meningitis is usually due to extension of infection to the pia mater from adjacent structures. Thus, it arises commonly from chronic infection of the middle ear, infection of the scalp, fractured skull, and bullet wounds of the head, which are common in war-time. At the time of injury the patient may merely feel upset, but deeper trouble may be taking place inside the skull. For this reason all injuries to the head, even though they may appear to be trivial, should be carefully watched. Moreover, in all cases where meningitis is suspected the ear drum should be examined. As in all forms of acute meningitis, there is headache, vomiting and drowsiness, accompanied by high fever with rigors (attacks of shivering as the temperature rises). Later there is restlessness with delirium, and a painful stiff neck so that the head is drawn backwards.
Research Septic Meningitis