Again symptoms may be non-specific and signs/symptoms of meningeal irritation may be absent.
Signs and Symptoms- as for neonates, plus neck stiffness and photophobia may also be elicited
– Petechiae and purpura are a sign of meningococcal infection, but may also be seen in Hibs and viral infections.
Causative Organisms
– Group B Streptococcus
– E.Coli
– Haemophilus Influenza
– Streptococcus pneumoniae
Treatment – Refer to local protocol, but usually
– Amoxicillin 30mg/kg + 3rd Generation Cephalosporin (e.g. Cefotaxime 50mg/kg