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Table 2 Common signs and symptoms at presentation. The table shows the proportion of CMGs that each specific signs or symptoms was described in

From: A systematic review of clinical guidelines on the management of acute, community-acquired CNS infections

Bacterial CNS infections

 Neonates/infants (≤ 1 year) (n = 8 CMGs)

 Children (< 16–18 years) (n = 10 CMGs)

 Adults and unspecified age (n = 10 CMGs)

  Signs and symptoms

n (%)

  Signs and symptoms

n (%)

  Signs and symptoms

n (%)

   Irritability

8 (100)

   Neck stiffness

10 (100)

   Fever

10 (100)

   Fever

8 (100)

   Headache

9 (90)

   Headache

10 (100)

   Poor appetite/feeding

8 (100)

   Fever

9 (90)

   Neck stiffness

10 (100)

   Bulging fontanelle

6 (75)

   Petechial rash/purpura

8 (80)

   AMS/ALOC

6 (60)

   Petechial rash/purpura

6 (75)

   AMS

7 (70)

   Petechial rash/purpura

5 (50)

   Lethargy

6 (75)

   Nausea/vomiting

6 (60)

   Focal neurological signs

5 (50)

   Nausea/vomiting

5 (63)

   Photophobia

6 (60)

   Seizures

4 (40)

   Neck stiffness

5 (63)

   Kernig’s sign

5 (50)

   Photophobia

3 (30)

   Seizures

4 (50)

   Brudzinski’s sign

5 (50)

   Nausea/vomiting

3 (30)

   Apnoea or respiratory distress

4 (50)

   Cold hands/feet

4 (40)

 

   Hypothermia

4 (50)

   Abnormal skin colour

4 (40)

   Confusion

3 (38)

   Focal neurological signs

3 (30)

   Photophobia

3 (38)

   Poor appetite

3 (30)

   Abnormal skin colour

3 (38)

   Leg pain

2 (20)

   Kernig’s sign

2 (25)

   Lethargy

2 (20)

   Brudzinski’s sign

2 (25)

   Irritability

2 (20)

Viral CNS infections

 Children (n = 4 CMGs)

 Adults and unspecified age (n = 10 CMGs)

  Signs and symptoms

n (%)

  Signs and symptoms

n (%)

   Seizures

4 (100)

   Seizures

10 (100)

   Focal neurological signs

4 (100)

   Focal neurological signs

10 (100)

   Fever

4 (100)

   Fever

9 (90)

   ALOC

4 (100)

   ALOC

9 (90)

   Changes in personality or behaviour

4 (100)

   Changes in personality or behaviour

8 (80)

   Headache

1 (25)

   Rash

5 (50)

 

   Headache

4 (40)

   Vomiting

1 (10)

   Memory changes

1 (10)

  1. Abbreviations: ALOC altered level of consciousness, AMS altered mental status