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8/9/2019 Bacterial Meningitis 10

1/10

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2/10

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3/10

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4/10

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5/10

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6/10

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>111241?>7>>74

>8+ Tgj K`j}c OG, Xgwzj OG, Ig~dct D+ Ijk`kfcdcdd` icmj~g}jlp ~jt`t

}gk} }c qjk`d`ll`k+ Lgkdj}+ 70012448?:=

>6+ Nc}eg Q+ Qjk`d`ll`k~jt`t}gk} Kj`ttj~`g ijk`kf`}`m`t `k Tcz}ej~k Gh~`dg+

Lgkdj}+ 705527?:=

>5+ M`llck O^, Qgzj I, Pjzkf BE+ Tq~jgm ch qjk`d`ll`kgtjq~cmzd`kf gkm

}~gkthj~ qlgti`mt h~ci }ej fckcdcddzt }c Kj`ttj~`g ijk`kf`}`m`t+ Lgkdj}+

705427?660657

>0+ Fglìgkm I, Fj~ngzm F, Fz`ncz~mjkdej I, ^`cz OP, Dcz~xgl`k Q+

E`feljxjl delc~giqejk`dcl ~jt`t}gkdj `k Kj`ttj~`g ijk`kf`}`m`t+ K Jkfl

O Ijm+ 70052440?585 56=41+ Dcgk} QK, Bc~knj~f GJ, Mzhhp LD, M~pog MI, Egttgk TI+ Nlccm

dzl}z~j ~jtzl}t gt mj}j~i`kgk}t `k }ej c~fgk`ti `mjk}`h`dg}`ck ch ngd}j

~`gl ijk`kf`}`t+ Qjm`g}~ Jij~f Dg~j+ 700>25?>11 >1:

47+ Ne`t`}bzl MI, Ecfgk GJ, ]gk ^^+ ]ej ~clj ch ngd}j~`gl gk}`fjk mj}jd

}`ck }jt}t `k }ej m`gfkct`t ch ngd}j~`gl ijk`kf`}`t+ Qjm`g}~ Jij~f Dg~j+

700=271?8667

4>+ Egpmjk ^], H~jkbjl LM+ Ic~j lgnc~g}c~p }jt}`kf? f~jg}j~ dct} nz} kc}

kjdjttg~`lp nj}}j~+ Qjm`g}~ @khjd} M`t O+ >111270?>01 >0>

44+ mz Qljtt`t I, Ti`}e GI, Bzfigk BQ+ ^gq`m mj}jd} ck ch qjk d`ll k

~jt`t}gk} T}~jq}cdcddzt qkjzick`gj `k dj~jn~ctq`kgl hlz`m np g tji`

kjt}jmQD^ t}~g}jfp+ O Dl`k I`d~cn`cl+ 7005248?=:4 =:6

4=+ Mgfgk ^, Te~`bj~ C, Eggk @, j} gl+ Q~ctqjd}`xj t}zmp }c mj}j~i`kj

dl`k`dgl ~jljxgkdj ch mj}jd}`ck ch qkjzicdcddgl MKG `k tj~g ch de`lm~jk

np QD^+ O Dl`k I`d~cn`cl+ 7005248?880 864

4:+ Dc~mjll VE, Cl`kfj~ IL, Bcgb QG, Kpez`t GV+ Mcjt gkpncmp ~jgllp

bkcv veg} }ìj `} `t3 Mcjt gkpncmp ~jgllp dg~j3 Gkk Jij~f Ijm+

700=2>4?714>714848+ Dgllgegi I+ Igkzgllp ~jdc~mjm }ìj+ Gkk Jij~f Ijm+ 700=2>=?001

46+ Qclb MN, T}jjlj ^V+ Ngd}j~`gl ijk`kf`}`t q~jtjk}`kf v`}e kc~igl dj~j

n~ctq`kgl hlz`m+ Qjm`g}~ @khjd} M`t O+ 705628?71=1 71=>

45+ Ng~tck VO, I`llj~ IG, N~gmp I], Qcvjll MG+ Q~ctqjd}`xj dciqg~g} xj

}~`gl ch djh}~`guckj xt+ dckxjk}`ckgl }ej~gqp hc~ }~jg}ijk} ch ngd}j~`gl

ijk`kf`}`t `k de`lm~jk+ Qjm`g}~ @khjd} M`t O+ 705:2=?48>485

40+ Hjlmigk VJ+ Dckdjk}~g}`ckt ch ngd}j~`g `k dj~jn~ctq`kgl hlz`m ch qg

}`jk}t v`}e ngd}j~`gl ijk`kf`}`t+ O Qjm`g}~+ 7068255?:=0 ::>

776= MJLGPJM LZING^ QZKD]Z^J @K NGD]J^@GL IJK@KF@]@T+ Q~cx`mjm np @kmckjt`g?GGQ Tqcktc~jm ck Cd}cnj~ 71, >110vvv+qjm`g}~`dt+c~fMcvklcgmjm h~ci


8/10

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( Tj~x`djtZqmg}jm @khc~ig}`ck

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^jhj~jkdjt

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D`}g}`ckt

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J~~g}g

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Gk j~~g}zi egt njjk qznl`tejm ~jfg~m`kf }e`t g~}`dlj+ Qljgtj tjj

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e}}q?##vvv+qjm`g}~`dt+c~f#i`td#Qj~i`tt`ckt+te}il}gnljt) c~ `k `}t jk}`~j}p dgk nj hczkm ckl`kj g}?@khc~ig}`ck gncz} ~jq~cmzd`kf }e`t g~}`dlj `k qg~}t %h`fz~jt,

^jq~`k}te}}q?##vvv+qjm`g}~`dt+c~f#i`td#~jq~`k}t+te}il

@khc~ig}`ck gncz} c~mj~`kf ~jq~`k}t dgk nj hczkm ckl`kj?

+ Q~cx`mjm np @kmckjt`g?GGQ Tqcktc~jm ck Cd}cnj~ 71, >110vvv+qjm`g}~`dt+c~fMcvklcgmjm h~ci
http://www.pediatrics.org/cgi/content/full/108/5/1169http://www.pediatrics.org/cgi/content/full/108/5/1169http://www.pediatrics.org/cgi/content/full/108/5/1169http://www.pediatrics.org/cgi/content/full/108/5/1169#BIBLhttp://www.pediatrics.org/cgi/content/full/108/5/1169#BIBLhttp://www.pediatrics.org/cgi/content/full/108/5/1169#otherarticleshttp://www.pediatrics.org/cgi/content/full/108/5/1169#otherarticleshttp://www.pediatrics.org/cgi/content/full/108/5/1169#otherarticleshttp://www.pediatrics.org/cgi/collection/infectious_diseasehttp://www.pediatrics.org/cgi/collection/infectious_diseasehttp://www.pediatrics.org/cgi/collection/infectious_diseasehttp://www.pediatrics.org/cgi/collection/infectious_diseasehttp://www.pediatrics.org/cgi/content/full/110/3/651http://www.pediatrics.org/cgi/content/full/110/3/651http://www.pediatrics.org/cgi/content/full/110/3/651http://www.pediatrics.org/cgi/content/full/110/3/651http://www.pediatrics.org/misc/Permissions.shtmlhttp://www.pediatrics.org/misc/Permissions.shtmlhttp://www.pediatrics.org/misc/Permissions.shtmlhttp://www.pediatrics.org/misc/reprints.shtmlhttp://www.pediatrics.org/misc/reprints.shtmlhttp://www.pediatrics.org/misc/reprints.shtmlhttp://www.pediatrics.org/http://www.pediatrics.org/http://www.pediatrics.org/http://www.pediatrics.org/http://www.pediatrics.org/misc/reprints.shtmlhttp://www.pediatrics.org/misc/Permissions.shtmlhttp://www.pediatrics.org/cgi/content/full/110/3/651http://www.pediatrics.org/cgi/collection/infectious_diseasehttp://www.pediatrics.org/cgi/content/full/108/5/1169#otherarticleshttp://www.pediatrics.org/cgi/content/full/108/5/1169#BIBLhttp://www.pediatrics.org/cgi/content/full/108/5/1169


9/10

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@k }ej g~}`dlj Qct}qg~}zi M`tdeg~fj Q~jhj~jkdjt ch Qjm`g}~`d`gkt? ^jtzl}t H~ci

g Kg}`ckgl Tz~xjp np Ocek ^+ N~`}}ck j} gl %Qjm`g}~`dt+ >11>2771?:481) }eg} gqqjg~jm `k }ej Ozlp >11> `ttzj, }ej `kdc~~jd} f~gqe vgt qznl`tejm gt H`fz~j 7+ ]ejdc~~jd} H`fz~j 7 gqqjg~t njlcv+ ]ej qznl`tej~ ~jf~j}t }e`t j~~c~+

H`f 7+ Qept`d`gk qj~djq}`ckt ch cq}`igl xj~tzt i`k`igl LCT+

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10/10

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Ocek ]+ Bgkjfgpj j} gl %Qjm`g}~`dt+ >1172715?7780776=)+ ]ej ec~`ck}gl gu`t kcv~jgmt ]ìj Gh}j~ LQ %e~t)+ @} teczlm ~jgm ]ìj Gh}j~ Gk}`n`c}`dt %e~t)+

Gk j~~c~ cddz~~jm `k }ej g~}`dlj ]ej Ctqjmglj mjfl` @kkcdjk}` gkm }ej Ngin`kc ch }ej Gij~`dgk Gdgmjip ch Qjm`g}~`dt np Lgv~jkdj Bgek %Qjm`g}~`dt+

>11>2771?76:751)+ ]ej hcllcv`kf }ju} vgt ci`}}jm?

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>11>2710?06=060)+ ]ej t}g}jijk}t ~jhj~jkdj }c Hgmoc gkmNzdd`g~jll` %700:)/ `kdc~~jd}lp deg~gd}j~`jm }eg} g~}`dlj gt gmm~jtt`kf q~j}~`gltd~jjk`kf qgkjlt, ve`de `} m`m kc}+ Ic~j t`fk`h`dgk}lp, }ej gz}ec~t ch }eg} g~}`dljm`m kc} juq~jtt gk cq`k`ck gncz} vej}ej~ ijm`dgl juqj~}t mz~`kf q~j}~`gl mjqct`}`ckt g~j ic~j l`bjlp }c chhj~ zk~jl`gnlj }jt}ìckp+ ^g}ej~, Hgmoc gkm Nzdd`g~jll`gmxcdg}j }ej xclzk}g~p ztj ch ~jx`jv qgkjlt }c jxglzg}j juqj~} }jt}ìckp `kijm`dgl l`gn`l`}p gd}`ckt+ Ve`lj }ej gz}ec~ ch }ej GGQ qcl`dp t}g}jijk} mcjt kc}tzqqc~} }ej ztj ch q~j}~`gl td~jjk`kf qgkjlt, ej ~jig`kt dckdj~kjm }eg} juqj~}}jt}ìckp q~cx`mjm `k }ej q~j}~`gl qegtj ch iglq~gd}`dj gd}`ckt `t tznojd} }c jxjkljtt td~z}`kp gkm gddczk}gn`l }p }egk juqj~} }jt}ìckp q~cx`mjm lg}j~+ ]ej gz}ec~gkm }ej Dcii`}}jj ck Ijm`dgl L`gn`l`}p ~jf~j} }ej j~~c~+

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bacterial meningitis 10

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