Diagnosis and management of purulent meningitis

Purulent bacterial meningitis represents a diagnostic and therapeutic emergency, with prognosis closely dependent on the speed and accuracy of diagnosis and management.Cerebrospinal fluid (CSF) analysis is the mainstay of diagnosis, as it helps to distinguish etiologies (bacterial, viral, tubercular), identify the causative germ and guide antibiotic therapy.Therapeutic management is urgent, and relies on intavein antibiotic therapy with good cerebral diffusion.