Suspect Mengitis when:

A child has fever with headache.

A child behaves abnormally.

A child become drowsy, irritable ro restless.

A child has neck stiffness.

An infant has tense fontanelle, cries excessivelt or is drowsy.

Refer the patient to a pediatrician for L.P and treatment.

Summary of treatment:

Inj. Streptomycin 40mg/day

Syp. ISOKIN 15mg/kg/day

Syp. Rcin 10mg/kg/day

Tab. Ethambutol 15mg/kg/day

Tab. Pyrazinamide 30mg.kg.day

BETNESOL drops or Tablets

Intrathecal Efcorlin 10mg (Hydrocortisone hemisuccinate)

General Nursing care, tube feeding or oral feeding.

Additional Treatment:

If fever:

Syp. CROCIN 1-2 tsp

Cold compresses

If convulsions:

Inj. Paraldelhyde 1ml.yr of age x deep IM

Inj. CALMPOSE 1/2 to 2cc IV

If headache/irritable:

L.P. to reduce intracranial tension.

If dehydration:

IV fluids as required

Whenever an Infant cries excessively and has bulging fontanelle, Think of TB mengitis.

Inj. Streptomycin           

Syp. Rcin         

Inj. Paraldelhyde 1ml