Case1: Vomiting 

Case 2: Cough & fever

Case 3: Bruising 

Case 4: Sore throat

Case 5: Jaundice

Case 6: Flu & fever

Case 7: Diarrhea

Case 8: Black Robe 

Case 9: Back Pain

Catching the beast

Thanks to

Quiz Please

• She was immediately started on:
• A broad spectrum antibiotic by IV.
• IV fluids.
• IV steroids.
• She remains on a daily steroid replacement dose because her adrenals were completely destroyed.
• Even though she had meningitis, she recovered with minimal CNS damage.
• Unfortunately, she did develop a seizure disorder secondary to meningeal scarring.

These pictures are of an acute bacterial meningitis. Note the PMNs filling the subarachnoid space.

Golden, JA, N Engl J Med 333: 364, 1994