Aseptic Meningitis

Great case at intern report today!  Your colleagues generated their top 3 learning points of this case for your reading pleasure...

1. Medications that are culprits of aseptic meningitis include: TMP/SMX, NSAIDs, IVIg, penicillins, and isoniazid.

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2.  Drug resistant strep pneumonia: 40% are penicillin resistant and <10% are 3rd gen cephalosporin resistant.

3.  For a bloodly LP, you can interpret the WBC by subtracting 1 WBC for every 1000 RBCs.

JAMA Rational Clinical Exam for Meningitis